HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# ISSUE DATE 1 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-WwArA- 661)4 1�
(Company Name/Individual Name)
the (;-? LW+A-U�k Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
SCANNED
BY
St Lucie Countv
have agreed to be
ti�Ld, -F+. �>, er-, T-1- -Sql L(S--
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.
0111-�
CONTRACTOR SIGNATURE (Qualifier)
biwi�-14 C 0(sc� BY1,
PRINT NAME
COUNTY CERTIFICATION NLTABER
State of Florida, County of—�
The foregoing Instrument was signed beft, v me thil=9.3 day of
2aby=1171,47)D��
n;h9 is personally known —or has produced -a Ow
STAMP
Print Name of Notary Public
LASHAHNA INGRAM-RAHMING
MY COMMISSION # GG 275060
EXPIRES: December'20,2022
. . . . . . . . . BondedThmNo Public UnderwrileTs
Revised I I/
SUB -CONTRACTOR SIGNATURE (Qualifter)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _
The foregoing Instrument was signed before me this _ day of
,20� by
who Is personally known _or has produced a
as Identification.
Signature of Notary Public
Print Name of Notary Public
STAMP