HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTr
PERMIT# � (}��,� ISSUE DATE
S c- f.<J
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT RECEIVED
MAP 061018
Permitting Oepartly2RE
St, Lucie County
SCANNED
BY
St. Lucie County
-- (Company Name/Individual Name) have agreed to be
the C lfTrade) de)
(Type of TSub-contractor for r �{ a
(Primary contractor)
le-t )r (,
For the project located at /R %O U
(Project Street Address or Property
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.
, - O SIGN RE(Qualifier)
IE
MIN , AJtE *^may
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sf Vtt L-k-_
The foregoing instrument wassigned before me this _(li— day of
2011b) Qfa&
who is personally known or has produced a
as identification.
STAMP
Signature of Notary Pu be
Print Name of Notary Public
Revised 11/62016
SUBCONTRACTOR SIGNATURE (Qualifier)
PRINT NA.vlE
9 iYy�
COUNTY CERTIFICATION NUMBER
State of Florida, County o . L "61 9—
The foregoing instrument
was signed before me this 'J day of
20E, by LGUJre RCe J IkbS
who is personally known Vor has produced a
as identification. ��
`„kA/kil K 0 1 L_ vAia n a STAMP
Signature of Notary Public
Prmt Name of Notary Public
'i�1% LAURAR.CUBBEDGE
4.2 Corrunlssion AtGG 022076
(PrExpires October2l, 2020
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