HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTi'
PERMIT # F ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
S("A Ailc
St. 40cie
R CA L? V+ P - F OSTEP-,, 3 (Z.— have agreed to be
(Company Name/Individual Name)
the EL�ECI-Rl':2 A L-- Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at &70(o bGLANr) f�ive 14SSl
(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.
iop_ NTRAC*R SIGNAYURt (Qualifler) SUB-CON)fRACTOR eNATURE (Qualifler)
RA,L0W- '�- C-QSTC-/� KPLpt4 P.Fo-�,Tt,-r? Jr�,
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofi� �-
0q41"y of
The foregoing instrument !w� . �ed before me the
.20_0 by twa�
who is personally known _or has produced a
Ident lication.
C STAMP
I " &Au)t�"
ignAlure of Notary Public%
LASHAHNA INGRAM-RAHMING
my COMMISSION # GG 275060
EXpIREs: December*20.2022
Revised 11/16/2016
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