HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTIUMNEU ew , 5, 0/ ® -.
I I ISSUE DATE
PLANNING I& DEVELOPMENT SERVICI*' WNED
Building & Code Compliance Divisiattucl®
( r- I_&AC g I(�d, l Name)
the
(Type of Trade)
For the project located at
(Project
It is understood that, if there is any cl
project, the Building and Code Regul
BUILDING PERMIT RECE M
SUB -CONTRACTOR AGREEMENT
MAY 1- 92010
Pa li W616
t nt
fl
have agreed to be
Sub -contractor for � inn' �Q!/CI �Oi(/ 4d?.
(Primary Contractor)
reel Address or Property Tax ID P)
filing of a Change of Sub -contractor noti
of status regarding our participation with the above mentioned
Division of St. Lucie County will be advised pursuant to the
CONTRACTAR SIGNATURE (Qualifier) S ' ACT iGNATURE (Qualifier)
dR1r NAME PRINT NAME
COUNTY CERTIFICATION NUMBER I COUNTY CERTIFICATION NUMBER
State of Florida, County of_ rr. / `//a_, State of Florida. County of �44/�
1/ C W
al
The foregoing instrument was signed before me this /' day of The foregoing instrument was signed before me
eeetthis day of
20�by l/�/�(J f 4 i /N 20jgby YV14Y ii Lf'/94i�J///r i—
who is personall - known or has produced a I who is personally known Xor has uced a
as identi cation. I as identif ariun.
��. ROGER A PRIEST
RY Prj /��
otary Pr�tTk' late of Flori STAMP
Sig at o' \otary ublic a tture of Notary P b c'
Commission i GG 010740
sus My Comm. Expint Nov 7, 2020
/ h w d IhroapN NdWal Nelsry'Assa CT
Print Name- of Notary Public iiiisisqpON&IRSfill4t Name of Notary Public
Notary Public State of Florida
6 Kimia J Simone
'� My Commission FF 981331
Revised I I i 16/2016 of r1o�' Expires 05/1812020