HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr�
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
r Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
the
For the project located at
Sub -contractor for A I ��
(Primary Contractor)
(Project Street Address or Property
have agreed to be
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
COUNTY CERTIFICATI N NUMBER
State of Florida, County ak 1 I 1� �� '1I,(V,�I
Th foregoing Instrument was si ned before me this' "day of y
s by L-q
who is personally known, ,or has,produeeda
as Identification.
Signature of Notary Pub �-
G1 V91% k
Print Name of No ary Public
SUB-CONCR. RSIGN •URE(Qualifier)
Gel
PRINT MAIE
COUNTY CERTIFICATIONNUMBER
(�
State of Florida, County of\�/1 1 1I no \',(,.�,{�
T foregoing lnstrumentwas sl ned before me this�i Woy of n/
30y c Y
who Is personally known or has produced a
as Identification.
s
STAMP ✓\
Ignature of Nolnry Put
u He
1-1 12 i!� l/. VNi V19��
Print Nnmc of Noma• P bile
Notts
ZP
S:10Z
noe1BhWRevised 11/16/2016 �
�'� NoN
?o Narary Pu6tlo State o/Ffodda
g Oh N6nsor
4a no� MY Comm�y�70 f0739S
Fnplras 0
STAhm