HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
LRECEIVED
MAR 2 8 2018
. Lucie County, Permitting
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ica ^ � 1- '5e6"V 111 & (f �o� have agreed to be
the rpang ame/Indivtf ual Name) /% / e
A�- / I C 4 / Sub -contractor for `f Klp".'0 ( ezf awv 4%2g-
(Type of Trade) y' (Primary Contractor)
For the project located at 27 ,,Jc� 4 �G 2q�'l. ✓�y(h: � 77�3�
(Project Street Address or Property Tax ID #)
v e,Plsek% Oeaco �F/ 3` ) .57
It is understood that, if there is any ch2lge 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. SCANNED
BY
"t. Lucie County
CONTRACTOR SIGNATURE (Qualifier) SOB -CONTRACTOR SIGNATURE (Qualifier)
F.Pm-.,r .q, A9 te 2 Qwtr t�?
PRINT NAME o(ivolep- A:1 j/�e(�—
COUNTY CERTIFICATION NUMBER
State of Florida, County of W lOos�
The foregoing instrument was signed before `me this -A day of
�1 c',20'Abyy�fr K,16 Lczcar.
who is personally known —or has produced a ii:Lb l._.
1pyyCeMPAIS504 #.,1 E 3
EXPIRES: December I6, 2020
Banded Thm tVOtttr FubOo UrdervIDtoe
Revised 11/162016
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
.20� by
who is personally known _or has produced a
_as identification. _
STAMP
Signature of Notary Public
Print Name of Notary Public