Loading...
HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# I I 1 011 - © I (O I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division f2ECr:iVI=D i m - - - — BUILDING PERMIT AUG 0 6 2019 SUB -CONTRACTOR AGREEMENT SGANN m T: Lucie County, Permi its (,r Bl\�I,V have agreed to be C an Na riondividual Name) P Y 66 �J a the [J�. i� Sub -contractor for l&' (Type of Trade) •{- (Primary Contractor) For the project located at 2 CO3- 6�� �74 L 1 �� Cl— 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. tE, CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER pn State of Florida, County of `Si—J. (f The foregoing instrument was signe¢sbefore me this o`S day of J ISk ,216 by iV Cme- S� who is personally known _or has odu a v r as =Iff STAMP Signature of Notary Public Print Name of Notary Public :^ "✓ , WALTE�R GOMEZ "' ' 3 _ MY COMMISSION # FF925171 .rye t EXPIRES December 17, 2019 Revised 11/16/2016 t40)13 DS 153 FWMNm v5anY cco, C SUB -CONTRACTOR SIGNATURE (Qualifier) FLi,9h/f/ PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofs�e d Avy' 3 /�C3 3 The foregoing instrument was signed before me this 0S day of -S3 ,20�,by FL-gl-i hlr4 rtHl who is personally known s produced a as iQR' ntificptigp� A STAMP ,(:kd rn(--Z ;*P'•• '^' UY COMMISSION # FF9251 '� �� EXPIRES December i7, 20 �e0713e9o5°3 Fk,AeNuial'!Sorv�e ccm