HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT # / �� r _VW
� — ISSUE DATE - -
PLANNING & DEVELOPMENT SERVICES
CA Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
Wl Cka14 f T Gylv have agreed to be
(Cont ny ameTak �
t iva
the ptY ) czy_.. Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
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.
CONTRACIORSIGNATURE-(Q rer
N I
CO Y CERTIFICATION NUMER
State of Florida, County of 52k�
SUSx$ArTtiACTOR'$TGNAf77'eAd
IItF .jQoal:f�� I
<P.RFNTLN- t
COUNTY CERTIFICATION NUM ER ,
State of Florida, County of
The foregoing instrument was signed before me thisAP--day of The foregoing instrument was signed before me this .lda%AL
�zDl/by JV Ch'D)44 fiubi� 20,9l1yld;eho/as IltJ-0
who is personally knownor has produced a who is personally knowfi —or has produced a
as identification.
•LAMP
Signature of Notary Pr c
';z:DIn0aM �93-44LVY)r4F,-ey
Print Name of Notary Punne
tl
,qsx'°i%;•; AUDREYB.HUMPHREY
r MY DCUMMISSIDN @ FF [74P2
Revised 11/162016>`_'= EXPIRES: March 6, 2019
'fA1�F�e'•, 9Wed Thru l7otyfpublicUntlervrtders
as identification.
STAMP
Sig tore ofNatarytic ov
Print Name of Notary Public
�i AUDREYa'""REY
._ MY C0104SSIONMar 9 FF 174772
2019
�•. ` - EXPIRES: March B, 2019
NO &eded Thn,Notary Pubrc Underwriters