HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTRECM'-':D DEC 162GIS " -
PERMIT# T ISSUE DATE
ING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(CoTpan
Narne/Indiviclual N
the <5/1 4 Sub -contractor for
(Type of Trade) (Prin
For the project located at _ ��121
bad,
Street Address or Property Tax ID #)
Contractor)
'ry
SGANNEU
BY
St. Lucie Count,
have agreed to be
Aell2be - -
ov�s/
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The dfoo
migms,,,mentwas signed be"71, me this ay of
a
who is Personally known _or has prod need a
as identilicanon
STAMP
Signatuof Public
I -
—0, Xo�tae&",�? 7Z;41
Print-?�ftnc of Notary Public
Revised 11/16/2016
SUB-CONTR) IGNATU (Qualifier)
�-,/44?/2 , Ad / / YL e—
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of —4&a—ale—
Thytregomvnstrume�t was signe;d;b�, re me this dayof
who is persona red a
�e)
STAMP