HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT(r
PERMIT# �`��d ��001 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
� C A d koPA Q e-cir,G
(Company Name/Individual Name)
the '_ _e GPIL Sub -contractor for
For the project located at
y0 6 OSPr'e�'r C�
(Project Street Address or Pro erty Tax ID
SCANNED
BY
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
Sub -contractor notice.
0
COUNTY CERTIFICATION NUMBER
State of Florida, County of S� L,�
The foregoing instrument was signed before me this ]� day of
�(q N-\ .20�p by Rdlr(iCry'-AA5
who is personally known —or has produced a '�L t L-
as identification.
e STAMP
Signature of Notary Pub'
Print Name of Notary Public
DEf�4NA1,nNRIE GNENS
MY .DA1idIS5!04 k GG 0 022
20
33
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SUF-CONTRACTOR SIGNATURE (Qualifier)
IIZ)(e-1
PRINT NAME
�_G \r�0-D-� � L1'\
COUNTY CERTIFICATION
�rNB�UM IER
State of Florida, County of �tti e /(%'�",(',
The foregoing instrument was signed before me this 1 -Lp day of
`lam , 20a_0by ::hh0VVN% l
who is personally known _L/or has produced a
as
Print Woe of I
otary Public
t3td�Y
NOTARY PUBLIC
STATE OF F1 Of�IOA
canutAi �g7B269
1 E>�1res 41412020
STAMP