HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
St. Luce County
Mct+ula have agreed to be
(Company Name/Individual Name)
the EIeC IG' Sub-contractorforSr.U_6e(:�OlartlyurYe
-Our/ ✓ bLuli&
(Type of Trade) (Primary Contractor)
For the project located at 2408- `-41- cool • 0l0 • 3
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CO. CTOR SIGNAT R (Qu: lifter)
. Irr*5 'WL ub
PRINT NAME
COUNTY CERTIFICATION NUMBER
Stine of Florida, County of ST,
-ut%fe
�rd
The foregoing instrument was signed before me this day of
EOF-Vh ,2017,by JAIA05 M4T✓6*
who is personally known V"'or has produced a
as identification. ,p,r Qa�'���
-� f - STAMP
Signature of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
. 20_, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
t)ahtell� $t'ylin utw,r,.
Print Name of Notary Public ;yro.� Danlella Blglln Print Name of Notary Public
y .Commission R FF901099-
60
iid� ed--thrrU Aaron Notary
Revised 11/162016