HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# 1 Pl f _ ��I �O ISSUE DATE
PLANNING"1& DEVELOPMENT SERVICES
Building & Code Compliance Division RFC'FTVED
(Company Name/individual Name)
the e,ke(? i(),IN`
(Type of Trade)
For the project located at�9�
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SGANNED
BY
St, Lucie Coin
Sub -contractor for Q it ) yT e 1'
(Primary Contractor)
or Property Tax ID #)
JUN 21 2019
ST. Lucie County,
have agreed to be
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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
WAf I r�«I� r
COUNTY CERTIFICATI N N BER A�1 rrrr
State of Florida, County of
The foregoing instrument was signed before me thisc I day of
ci•
y140--,20gbr �BYrPa7ro��i��s/
who is personally known _or has produced a
as identification.
X d4 STAMP
Signature of Notary Public
KAREN S. NIELSEN
Print Name of Notary Pu @:° 4= [ateo orida-Notary Public
3 Commission # GG 207484
My Commission Expires
�'%%$S�d�`O June 12, 2022
Revised 11/16/2016
SUB- RACTOR SIGNATURE(Qualirwr)
dames "Q+uIG
PRINT NAME
cc l?M UDL3
COUNTY CERTIFICATION NUMBER
,
State of Florida, County of . "C(C_
The foregoing instrument was signed before me this oil Adalyof
Jlanl,20 ,,by �'12 414L"a
who is personally known _or has produced a
as identification.
STAMP
Signature 4LNotary Public
MQY(]QYGf E. i�r))e�CIl2
Print Nara of Notary Public
Notary Public State of Florida
N
Margaret E Montepare
c My Commission GG 214990
njp pM1� Expires Oe/05/2022