HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
/` I` (21.
(CoX�ame/I d
(Type of Trade)
project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_.fit � (!�" ' �•}1(�'t�t
have agreed to be
Sub -contractor for 1qA)C,, Diz
(Primary Contractor)
Ocece p� L,o/- S-Z
ect Street Address or Property Tax ID #)
It isl 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)
I'
n
PRI NAME
if 1/0 c�3
COTY CERTIFICATION NUMBER np �9
Staten of Florida, County ot�.�JLL k W(vl
e foregoing instrument- as sig*Ia
e me this day of ,
246' by (/l, �� A
who is personally known ✓r has produced a
as id'entifice ion.
of Notary Public
is of Notary Public
11/16/2016
Notary Public State of
l My &%
My bn FF 1E
E*PI1L9812W2016
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of���
The foregoing instrument was signed before me this 1 day of
20Z by V ) S K oA--C&4,6,�
who is personally known _or has produced a N
tPiky Ly
LASHAHNA INGRAMM
04�,
y Pubic - SYaYe of Florida
'
PnyGomm. Ex; ire'Dec20,201a
u;
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Comnission 7f FF 177249
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Bonded through National
Notary
STAMP