HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
(Company Name/Individual Name) ice "(
theh `i2 f LFC f c — Sub -contractor for Jr ,�dA /u/ifj�/�/��
(Type of Trade) (Pridiary Contractor)
For the project located at k 0- V/ Z - �c2 12) & lr /� L V/]
(Project Street Address or Property Tax ID #) Ll 7T/f 1
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 SIGNATURE (Qualifier)
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
as Identification.
.Signature of Notary Public
Print Name of Notary Public
Revised 11/162016
SUB- NTRACTO V
IGNATURE (Qualifier)
fop 141E9rzu (,GE
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of !& r yQ. J
The foregoing instrument was at n before me this � 1 day of
•Ap 20,by
who is personally known or has produced a Vi-. ►1.> >c'
6,g..*t.c
dentificaattion.
STAMP "��'`M
r Notary Public
Print Name of Notary Public
STAMP
ate of r : Hama
20.2018
# FF 177249
u,rnnsl Nolary (G9an.