HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT,;dY 12 2017
PERMIT # T
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
c Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
BDHNNED
BY
St Lucie County
have agreed to be
(t;ompany Nameilndividual Name)
the eL6Z7-k `CI'4W Sub -contractor for
�pil.✓ J�BS�n/s7xacr%oni Z)✓c.
(Type of Trade) (Primary Contractor)
For the project located at 420 00 ,ese,-v-e— 61,1d Ppy_ J4'_ W c�C GL 3 Y 94
(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 wjAbe advised pursuant to the
filing of a Change of Sub -contractor notice.
CONT CTOR SIGN T RE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sr' Lf rf d�
The foregoing instrument was signed before me this L day of
&&L I 20%I by �fFN J:kCoBS
who is personally known _Z/ or has produced a
as identification.
STAMP
Signature of Notary Pub c
�iY�,'cr'A-Src�/ENS
Print Name of Notary Public
�� '• PATRICIA STEVENS
. MY COMMISSION # GG023715
•,.�ae`d EXPIRES September 19, 2020
Revised 11/16/2016
,29 belf- E. Ly ne.ti
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 57, L4tCrle
The foregoing instrument was signed before me this % day of
iGI� 2012 by �y{jp, 'C�•Gynr•:t
who is personally known �r has produced a
as IdentiBca '
STAMP
Signature of Notary Public
Print Name of Notary Public
PATRWIA STEVENS
,y. I-.
=u.
MY COMMISSION # G0023715
i',�:•er •,,• EXPIRES September 19. 2020