HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTV b_003:�
PERMIT # ISSUE DATE
COUNTY
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie Countv
y�Z �r;c �-e�vu rn eau
s 1,
2017
BY. agree o e
(company Name/lltyrviduai Name)
the _t—:7 - _ Sub -contractor for R:iCI7rA{� � �a�t S.Cort57 �fP
(Type of Trade) PVT PUIV utne Skvi ecS (Primary Contractor)
For the project located at
(Project Street
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.
X ONT�NATURfier)
1:>oU:,.l0'rPRINTNMNIE
FIv; s
C.1 . 013084
COUNTY CERTIFICATION NUMBER _
Slate of Florida, County of Sr_Lunrr_
The foregoing instrumentwassigned before
em�e this 02 day of
�11�(�• 20ZZi k, _,AA(7CeeL
who,is personally known'/or has produced a
as ideotifi'. lion.
r STAMP
Si a e u Nolan•; uhlic , - '
/946 cue Q tyox pr
Print Name of Notary Public
^„• ae•�q;< Notary Pubtic• 51a1e of FlutldI
• Commlaelod 0 00 010140
Revised fl/ien ,�, my Comm. Explrea Nov T,021
021
SUB -CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Counlyof .Sk LuC e-
The foregoing instrument was signed before me this day of
.1v nn_ 20jl,by_C C Lelourneag
who is personally known Vor has produced a
as identification.
1 .I1la W STAMP
Sigliature of Notary Pubfi
C1nr.5 WGU(1-2
Print Name of Notary Public
f�'% ��
'•( _
CHRIS L WOOLLEY '-"-
MY COMMISSION #FF096403 �"� ""` �<'
"�.?eFn�°�'
EXPIRES February 26, 2018 -
(407)39t4e1a3
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