HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT 21
-1,
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for V& oar , —1kyoices G aq
(Type of Trade) 320(c 32o) 320L. (Primary Con //t�or)
For the project located at 33 Z 1 b I Zc A 3215 S • 1. ,5" ('Oa.% 1.1(zat 1k C, E rz c-4 J FL
(Project Street Address or Property Tax ID #) - 3 y 4,41
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 Chan�gye of T
notice.
CONTRACTOR SIGNATURE (QualiOer)
Xzi&sJ40N eL • 6ro�:)GpN
PRINT NAME
COUNTY CERTIFICATION NUMBER n
State of Florida, County of ln(M4tX1 tL-z i&,__ State of Florida, County of�iC�� (�7rQ�
The foregoing instrument was signed before me this L- day of i The foregoing instrument was signed before me this 0 day of
20Dby�?kLV` Qyl E. �cl`Xli �i 2017,by ;+LlrkeP 3"r
who is��lyi'oaay known Uor hav produced a who is persona0y (mown or bas produced a
�C t�oo3v��i
COUNTY CERTIFICATION NUMBER
as identifira '
STAMP Q. STAMP
Signataof Noift Public
- __C _6,f6ar L Diloi11i9n
&"-7;;4y=December
HWICK
-•' FF079740 29, 2017Revised Il/162016(407) sea-o1lce.com
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NOTARY PUSUC
STATE OF FLORIDA
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