HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# E
F'sSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT AUG 1 9 2019
SUB -CONTRACTOR AGREEMENT
SCANNED S7' Lucie County, Permitting
BY
St. Lucie Counfv
(Company Name/Individual Name)
the e KL Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be
lA n lif r�i�f�f�ot�p
tPrimnry Cnntrnetnr1
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.
-K ul.'/' t I30"40 -
CONTRACTOR SIGNATURE (Qualifier)
1a11A,IfPe 9J4,1✓d,J
PRINTNA
ICO RICATI %BELC
State of Florida, County of I I I V,fi—t,
Th foregoing instrument was signed before me this a day of
2011 by JJ JJ& l+BY KIJ
who is personally known _or has produced aL_
�as identificall
.A C t b °STAMP
Sigdatire of NotaryPubhc
Print Name of Notary Public ,ran g, KAREN S. NIELSEN
Wr cya'•
`[..Stele of Florida -Notary Public
Commission # GG 207484
M Commission Expires
•�?n�`�`P�� y June 12, 2022p
Revised 11/162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
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PRRI r7NAME��
CO TY CERTrFt4ATJPN ER rr
State of Florida, County of �G
Th foregoing instrument was signed before me this R day of
`20abYIQJ&I�fL 6aj: /--
who is personally known or has produced a�
as identification.
STAMP
Sig. lure (Notary Public
Stateof Flord NIELSEN
Commission o Gotary pub,,
My C"I"In 1i G 207484
June t9 on Expires