HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTERMIT #
SEP 2 0 2018.
ST. Lucie County, Permitting
(Com any Name/Ind
the
(Type of Trade)
For t, ie project located at
Name)
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
CEIVED
0'0��Al�fj
SiL IlCie
ht.Y
BUILDING PERMIT
)NTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 1 `1011. �u �nlo 1, 1 e. [�A)e schIp 64�
(Primary Co tr ctor)
(ki I )Cb/ 1 I -PeAle 14 3 �qllllli
(Project Street Address or Property Kak ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
proje�i t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
li
filmg� of a Change of Sub -contractor notice.
COUNjFY CERTIFICATION NUMBER
State olf fl Florida, County of _
The foegoing instrument was signed before me this day of
S O by I ��
who ispersonally known �r has produced a
STAMP
Public
Iao4'141 Notary Public State of Florida
Helen Katherine Hanrahan
My Commission GG 211520
l i�ipr Ro Expires 08118/2022'
-�d I1/16/2016
Ili
SUB-C1QN�'RAICTOR -SIGNATURE (Quaker)
PRINT NAME
L C 13oCJ1(rL�f 3
COUNTY CERTIFICATION
GNUMBER
State of Florida, County of S . JJr Ie p
The foregoing instrument was signed before me this day of
17,20A by James MQfu k
who is personally known _or has produced a
as identification.
_�gaD% �• STAMP
Signature f9 Notary Public
lqP RcAeE i E. MayTZPIV,6�-
Print Name of Notary Public
QV
4r%" Notary Public State of Florida
Margaret E Montepare
My Commission GG 214990
Expires 06/05/2022