HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT' \
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
=RECEIVEDBUILDING PERMIT SUB -CONTRACTOR AGREEMENTSCANNED
BY
St. Lucie County
�L-f !NBtt,-5 vim- .7�L
have agreed to be
(Company Name/Individual Name) ^j f Q L( sTi� !
the / ir�il c C^-t_ Sub -contractor for S
(Type of Trade) (Primary Contractor)
For the project located at l0 CJc— US , e 7 1 �u G (�
(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.
CfNIRACTOR. SIGNATURE (Qualifier)
r�� W . Ak_n
PRIRMAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of .Q C.LS
The foregoing instrumentwassig'need,. before melth'i`sday of, .^
b/y
who�'
is personally known =Or has produced a
Print Name
�� 3te4a
S -CONTRACTOR SIGNATURE (Qualifier)
lit �l
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of A"Os
The foregoing instrument was signed before me this'. day olf� � �/�
/ 20tby Y�l lVr_r I
who is personally known _or has produced a
�NE MNyOE "
blic-StateofFlor' a '� F. 7��E
Commission# GG0R85691gn r of tary Public , `"= Notary PUtTJi6-Stateo(Flodda
My Comm.Expires Feb 14, 2021 Commission#GG072856
i'Forv� My Comm. Expires Feb 14,2021
Bended through NABaulNotary Asm. �, n Bondedlh=;hNaBo,1NataryAcsn
Print Name of Notary Public
Revised I1/162016