HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNtu
BY
0A, L
'. l
SEP 2 4 2013
Permitting Depart-nerit
St. Lucie County rL`
have agreed to be
(Company Name/Individual Name)
the .61putie fe'4e Sub -contractor for /F'ay4n0 k. 0441$ 4OW5-t
(Type of Trade) (Primary Contractor)
For the project located at
MA/ 3
It is un
project,l 't' '9"t VYo
filing of
luv 0^�
CONTRACrbR SIGNATURE (Qualifier)
JOOv(,G45 101114/5
PRINT NAME
Address or Property Tax
31194G,
of status regarding our participation with the above mentioned
Division of St. Lucie County will be advised pursuant to the
COUNT)' CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of C�*- LA c_. -e- State of Florida, County of .' Y L C.
The foregoing �Z g instrument was signed before me this day of The foregoing instrument was signed before me this
y of
a r- 6 . 20t Ott, by�4!� � s S '-� , 24 S by M1%—
who is personally known ✓or has produced a who is personally known -/or has produced a
as identification.
IYrint Name of Notary Public
y
DEBRA K EBNER
Notary Public
of FloridaCommiflion
L'u
1-,State
I GG 047893T.MY-Cat
f EN944 Nov15. 2020
Revised 11/16/2016ml<
BMdldMrbYdt NiIi011il NplYy;A5i0.
as idCntification.
--- STAMP—_
t�tp�rr. K Ebn-0-.�
Print Name of Notary Public
,a „p„ DEBRA K EBNER'
:o
gso '�; Notary Public -,Stale of Florida
• ; •'- Commieslob N GG 047893 '
, VAF My Cbtrimr EeDiree Nov 15,,2020
hard`•• BondeOmraupnNaticealNOlzry:Assn.