HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTr-:
!
PERMIT# � 1 — � � � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Bt,;c„ / Ou"nP, Bvi1d.cr
(Company Name/Individual Name)
the _I{'�IG+�I, ,ram Sub -contractor for
(T,„y„pe,o f,Trade)',
�t "Cie Count
have agreed to be
se"." Dwel. / l7u�h u Ji�d.Bf
(Primary Contractor)
I p '
For the project located at y0T J-e, (44 Pd��
(Project StreehA,ddre�ss 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.
C�O7�1 RQ`�nOTNSICJ�JA�U�iE'(Quahrier)yr,�, ,.
I
N BeneJ.
PRINT NAME
Aw /hl��Ic�P.�
COUNTY CERTWICATION N14MBFR
State of Florida County of OF
_i AM 1!4
VuaiiCONTRACTOR SIG (Quahfier)�
PRINT NAME
(?/I I >r /' �Y
COUNTV CERTEFICAT19NBER �1 �j
State of Florida, County of—�e�V'v
The foregoing instrument was signed before me this —b— day of
, I The foregoing instrument was signed before me this ✓ day of
20�, by ` rl �i i•� n �.f i1L5 V , 20, by /J
who is personally!
known _or has produced a who is personally known _or has produced a
as identification. as identificatio .
STAMP
Signature Notary Pubic Signatu a of Notary Public
Print Name of Notary Publi
5.M
i[ ry P Public
111111/
�g9pY Pyh207484
�Sotar
.- GG ices
2p22P
'�nlm•
Revised 11/16/2016
Print Na
Y PUB�i
KAREN S. NIELSEN
State of Florida -Notary Public
oa Commission # GG 207484
�eo11 `oa,� My Commission Expires
June 12, 2022