HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # 1509-0223 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
Eompany Name/Individual Name) r
ec'�I G Sub -contractor for
(Type of Trade)
(Primary Contractor)
x�C.�r9o�;
OCT 011 2'U3
PERMITTING
St. Lucie County, FL
agreed to be the
For the project located at 20000 Okeechobee Road Ft. Pierce, FL 34945
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDv (No. 004-00)
SCANNED
BUSINESS QUALMER ER kName of the individual sbovm onthe contractor's License) BY
NOTARIZED SIGiVATURE$ ARE REQUIRED St. Lucie COu*
Business Name:
Address:
City/State/Zip:
Phone:
SIGNATURE PRINT NAME DATE
STXT
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 61Q7 C v81� , 20_ZI:S
BY L 4�+ eP WHO IS P ONALLY KNO OR HAS
PRODUCED AS IDENTIFICATION.
IN A
Commission 0 FF 110250 SIGNATURE OF NOTARY PUBLIC PRINT NAME 0FNOTARYPUBLI P= My Commission Expires
SLCPDS: 08/06/2014