HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ..
ISSUE DATE
PERMIT# ISSUE DATE'
PLANNING & DEVELOPMENT.' SERVICES
Building & Cdde Compliance Division
-' BUIL ING PERMIT
I
SUB-CONTRACTORA EIVED
MAR 2 9 2018
_ I ST. Lucie County' Permitting
1_ 1 CO4in have agreed to be .
(Company Naine/IridieidualName)'. •
the QI UyUt,l�,{/L� . ' Sub -contractor. for:.. .. -en can
(Type of Trade) - (Primary. Contractor)
.For the project located.atf�-
(Project Street Address or Property Tax ID #
It is understood that, if.there. is any. change.of•status regarding our participation with the above mentioned .
project;, the Building and Code Regulation Division of St.. Lucie County will be advised pursuant to the
filing. of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier) SUB-CO�iT T R NATURE (Qualifier)'
�••--
PRINT NAME PRINT NAME
Ito
2`�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER .
State of Florida, County.of� �"�1.. State of Florida, County of�'1'
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of .
2�.by : J. A �- 20; t by � .IL�
who is personally known. /nor has produced a who, is personally known or has produced a.
as i ntific n. T� as, id ti ation. "�"
\.
'
CLA
STAMP STAMP .
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Sigriature'ofNotary.Pub c �. -Signature of NotaryPu Gc
Grr�:
Print Name of No ary Public Print Name of Not ry Public'
.Craig Emmette Macew. . .' Craig Emme4te MacCoy .
NOTARY PUOLIC PIOTARY PUBLIC - -
STATE OF FLORIDA STATE OF FLORIDA
Revised 1111
Ctxnm# FF1 . Comm# FF994401 .
Expires 5/28/2020 f - 40
E7xV es 5/2812020
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