HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTATC 412253
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
E� Building & Code Compliance Division
BUILDING PERMIT RECEIVED
- SUB -CONTRACTOR AGREEMENT
q1I SCANNED JUL 0 2 2018
BY ST. Lucie Ggunty, Permitting
St. Lucie County -
have agreed to be
the �Q7Wi<1!i` Sub -contractor for ,J" 0,g4s,4 -izw -Q&6, P "
(Type of Trade) (Primary Conttac r)
For the project located at 4690 EMERSON AVE FT PIERCE FL
(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 SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION fBEJ�
State of Florida, County of
The foregoing instrument was signed before me this &/Ity of
who is personally known or has produced a
as identification.
9igdMre of Notary Public
;, :T CLAUDETTEMARIESAB(IL _
Prin ; * 12s ay14,2D22
+P.tt�"- BmdeOlMiTmy FeN ha�eanca90018S701B
Ik-
SUB-CONTRACTOR SIGN (Qualifier)
l�,a�, Crom a
PRINT NAME
COUNTY CERTIFICATION NUMBER
/�1
State of Florida, County of
Theforegoing instrument was signed before me this �/Y�, day of
20 > bye_ /AMt�f kAA, 2Ltl7
who is personally known _for has produced a
as identification.
STAMP g�/j
Signature ofNotary Public
IM
Pria d.jlFp et I#GG188270
.:
;a. •.�� Expires May 14, 2022
F',�it$"' Banded Via Troy Unlign encoSM-0,7018
STAMP
Revised 11/162016