HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisio RECEIVED
BUILDING PERMIT pAY ; 6 ,1011
SUB -CONTRACTOR AGREEMENT
SCANNED 5 Lucie County, Permitting
BY
St. Lucie County
C-115Y)n Y'a lS-Cy have agreed to be
S(Company Name/Individual Name)
the f-I-eG--1'Yi Ca � Sub -contractor for 1"CAV MGTbU��X S�YViC e�
(Type of Trade) (Primary Contractor)
For the proj ect located at ZgaDO 0l!I°t°ChO`0ee ed, r�pr+�iifrCe. EL 4l
(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.
CONTRACTOR SIG E(Qualifiier)
i3ev��r�rnlin��
PRINT NAME
COUNTY CERTIFICATION
pNUMBER
^ , n
State of Florida, County oat l L7' `olp 1
The foregoing instrument was signed before me this 6l `'dayy of I
MN 201'bby�nOM%Y)'&"A
who is personally known _�_or hasproduced a
as identification.
Signature of NotaryP 8
lie
Ide1Vtg h Vd i ASOV
Print Name QTotary Public
SUB -CONTRACTOR SI ATURE(Qualifier)
NICAV) YAi,W
PRINT NAME
COUNTY CERTIFICATION NNUMBER�/� r� �J
State of Florida, County of e LV J t 1 l� —�'�
The foregoing instrument was signed before me this' day of
�,20aby ('-�lenn Y-1lS15V
who is personally (mown )Lor has produced a
as identification.
STAMP
gnature Notary
Nul�10h Innv,��
Print Name o otary Public
o�p4r °W. Notary Pudic State of Florida zoSar °0 Notary Public State of Florida
r K Haleigh winsor
Revised 11/16/2016 Haleigh Winsor y . My Commission GG 107386
v My commission GG 107386 '$or poi Expires 06127/2021
or po� Expires 06127/2021
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