HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINGI PERMIT
SUB -CONTRACTOR AGREEMENT
unoG
R y have agreed to be
the
For the project located at 3a 0 e
(Project
Sub -contractor for
9I w
(Primary Contractor)
/ 1 vC I
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.
�� d�"411Wq
RA CT R ATURE (- 4a'wti` , d
Ll7e� �I AN�
COUNTY CERTIFICATION ER n
State of Florida, County of �4/CfIe
e foregoing instrument was signed before me thi W day of
zo by G 1�
ho is persona' own or has prod d a
as identification.ell
Signature of Notary P is r
t'wt
/ Print Name of Notary Pub
Print Name of Notary tblic
Y ,P�•�" AUDREY B. HUMPHREY
Revised 11/16/2016 � MEXPIRES MON # FF 6. i7 72
w' ° BondedThruNotaryPublicUndervrtitersRf`
COUNTY CERTIFICATION R
State of Florida, County of `
,Xfi—eTqregoing instrument was sign fore me this da of
zo b y e
o is pers y known or has produced a
as ide►ytilication. /Y/ — •
�'
AUDREYB.HUMPHREY
MY COMMISSION li FF 174772
EXPIRES: March 6, 2019
tt
1 '•pf
Bonded Thru Notary Public Underwriters