HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e
Sr �vcieCoJnty
have agreed to be
(Company Nattje/Individual Nattle) V I
the JJ Sub-contractorfor 9oD15 Gov Gn!z rni(,
(Type of Trade) (Primary Contra tor)
For the project located at 1aa E J-1-h Crcz.k Lav\9�5
(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.
CONTRACTO NATUR (Qualifier)
PRINT NAM
nL163� I
COUNTY CERTIFICATION LOCI NUMBER
I
State of Florida, County of sl , OC I e The foregoing instrument was signed before me this j `� day of
\J C— f_ , 20LI, by T�t.� ��K
who is personally known)�_or has produced a
as identification. ,JA'
-MITT STAMP
Signature of •Notary Public ^(
Print Name of Notary Public
4,yX eW _ Notary Public State of Flodda
r A Thomasina Bowins
Revised II/16/2016 �aOW Expires 0312912022 ommission GG 201733
SUB-CONTRAV SIGNATURE (Qualifier)
CVYV WAX
PRINT NAME
Q�'3-:117l
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of C
st, LQC\ C.
The foregoing instrument was signed before me this IBC dayof
who is personally known .)�_or has produced a
as identification. 'A1
--�7'c STAMP
Signature of Notary Public
-ri� _a�'InA
Notary public State ov %
A Thomasina Sow. n
MY eommlasiOn GG Ins
i=xpires 03/29/2022
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