HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT- /3
the
IPERMIT# I / ✓rd)_� I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
J = ' Building & Code Compliance Division
BUILDING PEMMIT
SUB-CONTPACTOR AGREEMENT SCANNED
BY
/ St. LUC.IP r.nilnt,
Sefvt6t;e (
NametIndividual Name)
(Type of Trade)
\G_ /M00A J UI1yQ? // 0 have agreed to be
Sub -contractor for /planA-c lGwer 5ecvt_ef l.(sen Clcey
(Primary Contractor)
For the project located at 4L7 D Ef_,N V ) r.. 0 M e1h -]— r✓
(Project Street. Address or Property Tax 1D #)
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.
CON ACTO GNATURE (Qualifier)
/9'h mkt ✓
PRINT NAME
_SCc /11 j 5-0 9'7tJ
COUNTY CERTIFICATION NUMBER
State of Florida, Count), or qq �
The foregoing Instrument was signed before me this0`M�iday or
�eo
who Is personally known r4-or has produced a
as Identification.
5' A/ � STAMP
ignature of n!vVubllc
Print Neme orr ot.r ublic
Notary Pub6c4asue 01 Floddo
Zack DaugMq
Rwis'ed 11/16/_UI6 M CommWion GG U34963
' �i li B>mina 70/02t202U
SUB40,711ACTOR SIGNATURE (Qualifier)
Rc+/manzi� lJovell0
PRINT'r NAbfE
166/J0016A2,
COUNTY CERTIFICATION NUMBER
State of Florida, County of'IrL-! .,_ _
q
The foregoing Instrument was signed before me this
day of
/vlarc-n .2U) �, by YAn,D( 119
who is personally known O�. or has produced a
as Identification.
�J
R
'Signature orNoWy Fubfic
Ya'sOy'
k Qwttn /r
�gE„
Print Name o . ota Publictor
Y'SLL
�goF
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