HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT 6-20-19PERMIT# 1qC ISSUE DATE
PLANNINGI & DEVELOPMENT SERVICE
9CANNhU
NOY
Building & Code Compliance Division
BUILDING PERMIT
S -CONTRACTOR AGREEME14T
UB
fit V PJ b teJ —A�—Qc—S �W C— have agreed to be
(Company Name/Individual Name)
the PWA4,01A)6 Sub -contractor for 42TA tZ ak@X4�rTIVA) /,tC
(Type of Trade) (Primary Contractor)
For the project located at 441(, *o �r A 1.4
(Project Street Address or F'roperty 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 Regulati n Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor no ice.
tzg
CONTRACTORSIG7NTURE (Qua ifier) OR
,XGNATURE (Qualifier)
71;F001
34P,A4"D, l4eflO. 15�10mw ID X'(WL&
PRINT NAME PRXTr NAMIE
.219 4) 674)
UNTY CERTIFTCATION NUM13ER COUNTY CERTIFICATION NUM13ER
State of Florida, County of State of Florida, County of
The foregoing instrument was signed before me this -a W, day of
SON& '201%by—ww-cvN�
who is personally known —or has produced a
as identification.
EIV CLkk 20L:� STAW
Signature of Notary Pullfic
QW71 \I MW20 i
Fnint Name of Notary Public — I
Y� ELLE J VAUGHN
�:State of Florida-N6tary Public
*E Commission # QG 270079
Reyised 11116/2016 My commission Expires
of 09tober 22, 202
The foregoing instrument was signed before me this 9aday of
20 LCL
who is personally known or has produced a
as identification.
EN
Signature of Notary Public
cayn\/
Print Name of Notary Public
" A U
stal
< ELJ EN AUGHN
- Commission tary Public
m GG 27oo7g
or)
My Commission Expires
State Of �lorid;1\16
C
0
`9 0 .011- 2 L2
.0 FL&
..... EE%l 00tobAr ')n
STAMP