HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
iilgiillm-- BUILDING PERMIT __4 v L'u
SUB -CONTRACTOR AGREEMENT
LLude
16
2018
SCANNED Co
BY tY, permitting
, St. Lucie County
-�n n Ko+ s e r have agreed to be
Company Name/Individual Name)
the Sub -contractor for AJ_\ C V-A-fl C T_M lflJr-SeXViCeZ
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Addtess 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.
V'_�
CONTRACTOR SIGNATAAA� olifier)
pP Ei v�l r� Et%e�1
COUNTY CERTIFICATION NUMBER State of Florida, County oi&emi O c �'t�I
Thee foorregoing instrument was signed before me this' `/daily of
Iv' 1E 20�byW 1 (I I1 1 uK
who is personally known�_or has produced a
as identification.
Si nature of Notary blic
Ro t-a
Print Name of NQJary Public
✓ `l
SUB -CONTRACTOR SIGNATURE (Qualifier)
7
PRINT NAME
-Z071 1 a
COUNTY CERTIFICATION NUMBER
State of Florida, County o li I noic �,A,,
The foregoing instrument was signed before
mee�this�' day of
M� 201b by CA1t l if 1 5U_ IWV
who is personally (mown )Lor has produced a
as identification.
STAMP
V
tare of Notary P.
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Hak:�[aln W;YAsor
Print Name of o ary Public
LNoterypub""Staleof Forida
HaleighWiRevised ll/162016MyCommissionGG 107366
� F�pires 0612712021
ZEE
State o!oron GG 1/2021
STAMP