HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
Law's
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Service Inc
Name/Individual Name)
the tiectncai
(Type of Trade)
For the project located
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
No
at Ittlo d 8?0,rf
4ue��°sea
have agreed to be
Sub -contractor for Wilco Construction
(Primary Contractor) bUAN D
BY
at 10701 S Ocean Dr. # 669 St Lucie County
(Project Street Address or Property 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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The forego ng instrument was signed before me this I day of
Zo, by A c
AS
who is personally know8 ar has produced a.
as identification.
Signature of Notary Public
1:6 UUi �u (�
Print Name of Notary Public
DAWN FITZGERALD
MY COMMISSION # GG 162U8
EXPIRES: December 17, 2021
Revised i ] 1 rO ` Bonded Thru PJatary Public Undenvrtters
S NTRACTOR SIGNATURE (Qualifier)
John R Law
PRINT NAME
29432
COUNTY CERTIFICATION NUMBER
State of Florida, County of CJv" I
The foregoing instrumentwassiignle)d bbefore me this ]day of
Z�,
who is personally knows✓/or has produced-a-
aass identification.
STAMP \ I 0/ Q Q Y \ STAMP
Sili— a of Notary Public
Dawn-�
Print Name of Notary Public
M. DAWN FITZGERALD
MY COMMISSION#GG162348
o EXPIRES: December 17, 2021
4r. Bonded Thru Notary Public Underwriters