HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNE-C
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St�ucie County
Mu(L f „.y have agreed to be
the Etzcra.t ( � Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
3
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 -con ctor notice.
C TRACTOR SIGNAT Quail
SRNta IA M u'a Y
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofSIR 'kL'
The foregoing instrument was signed before me this _L� day of
20_�by
who Is personally known _or has produced a
ddenll
cat"mSTAMP
n of Notary Public
Print Name of Notary Public
LASHAI'?dA INGRAM
Ai.ft
Notary Public • State of Florida
My COMM Expires Dec 20, 2011
li-2l a� °p ConlalisslOn # FF 17724E
Bonged through h'alioeal NoGru a»:„
S -CONTRACTOR SIGN T , (Quail r)
` tsHft P V, ^tif
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Vim.
The foregoing instrument was signed before me this __q_ day of
—S�, 2kZ, by (� t�
who is personally known _or has produced a �'� `"—
as 1 notificationpn.,,, {�
�G\o9�I., ' STAMP
rgnature of Notary Public
Print Name of Notary Public
Notary Public
llo
My ��. Exe