HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
3t i BY
Ocie Coun
ty
�PrQ,Q/N 'p4^' s have agreed to be
(Company NameJlndividual Name)
the Sub -contractor for
(Type of Trade) c (Primary Contractor)
For the project located at
(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.
,�& ��
' \C CTOR SIGNATURE (Qualifier)
(�nl�_i4
PRINT NAM
(053Y
COUNTY CERTIFICATION NUMBER
State of Florida, County of g ^ !fA kot
The foregoing Instrument was signed before me this �3 day of
6C4-06.F/L . 20(�7 by JW,9k W(a/a!• i
who is personally known��br bus produced a
as Identification.
//Gf/gA.�i1 iL //%lG� STAMP
tSiggnatureofNotaryPubac —
1 Yl ni a t(L :r8aA J&0JnO' l
Print Name of Notary Public
•�p�a,, DANIELLE JEAN HANNON
;:° tt•; Notary Public - Slate of Florida
• ; : Commission # FF 995383
Revised I I/16 $•` My Comm. Expires May 23.2020
' o�5t4'•• londed Ito* National Notary Ass,.
\ S B NTRA TOR SIGNATURE (Qualifier)
r
(o le
COUNTY CERTIFICATION NUMBER
State of Florida, County of nck�Qua Cif+
The foregoing instrument was signed before me this u day of
awe c 2at7 by�✓ J�rJAZI&
who is personally knorylP or has produced a
as identification.
STAMP
.Signature of NdftryPublic
s.-�e/A da" sKlillllGr
Print Name of Notary Public
S�'••, DANIELLE JEAN HANNON
Zw
Notary Public - State of FloridaCommission # FF 995383`Q My Comm. Expires May 23, 2020
" ^^" Bondad lMoudh National Notary Assn.