HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
& DEVELOPMENT SERVICES
.g & Code Compliance Division
BUILDING PERMIT SCANNED
-CONTRACTQR AGREEMENT [BY
'9� LUr,,1P GaUffiv)
( party ame/Individual Name) '
the m Sub -col
(Type of Trade)
For the project located at / 5) K)E t-)a 11 i
(Proiect Street Address or P�Q
It is understood that, if there is any change of status
project, the Building and Code Regulation Division of St.1
filing of a Change of Sub -contractor notice.
ONT T R SIGNATU (Q Gfier)
�b L
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20L, by
who is personally known 41 has produced a
IF
have agreed to be
for
(Primary
Tax ID #)
our participation with the above mentioned
Lucie County will be advised pursuant to the
e
a891su
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 ► C.;t_i-4't-A 2
The foregoing instrument was signed before me this
�tirl�, day of
201 G, by I l J 01e� 7 f'CJ i
who is personally known �or has produced a
Notary Public
a�:, RVAN LYNX C®LLUPV'
MY COMMISSION #FF170227
EX
PIRESOctober 21, 2018
(407) 398-0153 FlorldallotaryService.cn:m
STAMP