HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTCTNTY�
F L O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
KLU
ST. Lucie County, Permitting
have agreed to be
(Company Name/Individual Name)
the jr-1 6Sub-contractor for _ 014114AO k A YCp/E/fr4:21P.QP
(Type ofTt Ze) (Primary Contractor)
F
Couryi),
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
rG
(Project Street Address or Property Tax fD #)
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 w_W-�a advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACT SIGNATURE (Qualifier)
SUIfONTRACTOR SIGNATURE (Qualifier)
/I6r
AetaItnA rLW_jt-
PRI VAT NAME
PR4NT NAME
92�16
�Gt3oo t96/
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
G
State of Florida, County af.,�G
t
State of Florida, County of roWo�q�
�a
The foregoing instrument was signed before me this W drray of
The Instrument was signed before me this d or
0/-a o, . 20,1 by d (%r�VUL I//
r^foregoing
V t . 201i(by �--
who Is known �or has
personally produced a
who is personalty (mown or has produced a
as Idea )cation.
as Ide tifieatlon,
at of No ry Pu lie
e�LSTAMP STAMP
Slgn to 11.luu7 Flulhic
11
n
ROGER A.
" Notar
• �;` Y Public
Print Name orNotary Public
•SCommission #
JF12dna.
W POmm. ExpireFr��'� Bonded throe hG Natio
•k�",: MARI8FILRODRIGUEZ
W COMMISSION # GG 177988
EXPIRES: MarchA, 2(0
Bonded 7hruNOtdly PI�Y�Cir11(IBiYAiiai9