HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTL
PERMIT#
t e'
J\ ` t 12 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie Cqunty
\�I�IIQil1� W,i(AclA.t'.
FEB 16 2017
PERMITTING
St. Lucie County, FL
have agreed to be
•(lCompany Namellndhidudl Name)
the SIc C-k-Y t c C" L Sub -contractor for s/Ca�j
(Type of Trade) (Primary Contractor)
For the project located at _ `� 1 1 (i { T r--
(Project Street Address or Property Tart 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
foff aa�Change of Sub -contractor notice.
ZCO. CTO IGNATURE (Qualifier)
PRINT NAME
cr7-�L51479S
COUNTY CERTIFICATION NUMBER
State of Florida, County of M Q.h &J eC
The foregoing instrument was signedbeforewe this 1 `S day of.�"h. ,20_;by Robev t c..�orins0l"1
who is personally Wows ✓r has produced a ;FL p L -
as ldeotlneadon. PS)
•� - � O
STAMP
Sigaature of Notary Public
Print Name of Notary Public
�N!e ..� i DANIELIE ELRABEIN PRUNIER
!' MY COMMISSION #FFi36942
Revised 111IM20I ? � EXPIRES Juna 29, 2018
(aaT(assofsa FbrltlallotaryServicemm
I
J4.
G gt/E�Is�UQ_
CT Af
PRLVr NAIVE
rc, ocoo 518
COUNTY CERTIFICATION NUMBER
State of Florida, County of Fb { t_
n}'�\
The foregoing instrument was signed before me this day of
�ea`Itcut 7o1.h•I�lill•(tut1L•l�tt�U�T{%
who is peso esowv�ar has produced a
as identification. �Q����(�!Q��,
U.t • 'W Gt.=s-c• 1/!c tw_ STAMP
in" or, ryPublic
, nnlfg Mug'Ermo
Print Name of Notary Public
H
MARIE BROWon • GG 28247
ission Expires
bof 12. 2020