HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTI �
PLANNING & D&ELOPMENT SERVICES
' t , Building & Co,de Compliance Division
n s �
B ILnINC PER1111'I'
54 SUB -CONTRACTOR AGREEMENT
—FA O (Z-uS t Lt c-yL l t
(Company Naine.-Individual Name)
the -(�t c -A
(Type of Trade)
SCANNED
BY
t./C .
DEC 2 6 201?
PFR.`N7I'F"T1i4G
St. Lucie County, FL
have agreed to be.
fir �
(Primar Contractor)—
i
For the project located at % 67z,Ll
(Project Street :Address or Pr pertp Tax ID ?)
Itt is understood that, if there is any change of status regarding our participation with the above mentioned
project, the .Building and Code Regulation Division ofllSt. Lucie County will be advised pursuant to the
filinn of aCl ge of'Sub-contractor notice.
SIGN ATURY (Qualifier)
is
PRINTNAME
COUNTY CERTIFICATION; NUMBER
State of Florida. Caul lye of,C+�—�-��Cr
The foregoing instrument was signed before me this Anli
tiny of
'Xmo
G zu��ny
who is personally knots„ or has produced a
as identification.
1
Qr----7q A.iP
Si��nature o'. otar,- ohlic
me nl' •.Wotan• Public
Revise) 11:16.`2Q16
� �--A J
SUB-C'ONTR•1 . 7 R SIGN: 1'l!Rli Qualifier)— —
f� 2 c1t1
PRINT NAME
.22� 211
COUNTY CERTIFICATION NUNIHIER
State of Florida, County of b MCAA
The foregoing instrument was signed/before me thiis� T day of
Q�amgi&l 2e i_I, by rl 1, AZ ni Y ! �9y1 �1
✓ +i who is personally known .1. has prod need a
as id en ifrr,tinn.
Signatm- of Nor • Public
fit/
KAREN S. NIELSE!N prr rv,,neo�Notary
commission # FF 115637
My commission Expires
June 12. 2018
Sl'A I I P
NWYBAILIE-RIOUX
Commission # GG 134629
Expuea October 29, 2021
Baidud 1i+ru eiodp�t lkdatry Savk:M