HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT) � 09 1 01��) ) ��'
the
PERMIT# ISSUE DATE
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
For the project located at 1650
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
St. LU BY
de CourIty
have agreed to be
Sub -contractor for Dade Service Corporation
(Primary Contractor)
Road, Fort Pierce, FL 34982
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.
CONTRACrOR SIGNATURE (Qualifier)
GFgd/01"P WCA I t,9-rl
PRINT NAWE
1;oi!5,7�
COUNTY CERTIFICATION NUMBER
State of Florida, County of_Kd�c�
The foregoing instrument was signed before me this 41T'tday of
UK, - I I . W
who is personally know.*.r has produced a
as Identification.
Lig-
�
Signature of NotsiQ�8ublic
Miris , I y-f-
Print Name oUoApdpo
z zxzz
SUB-CONIR�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 145+-, 1A i e4
The foregoing instrument was signed before me this C
L day of
20.1,? by(lbricioelvA Ly-Achnwy-4
who is personally known*Or has produced a
as identification.
STAMP �S�_ fA 4�atlw
Signature of Notary Public
0 0 40 rx - �)a 1 1
Print Name of Notary Public I
STAMY B
13
Mycommmo
r 8, 20iq
EXPIRES: WN
Revised 11116f2016 B
11f;39111, SondedThmIk"
00 Ph Notary Public State of Flo da
I Deana M Dailey
q- My Conim[selon FF 909099
OPP, Expir63 08/1212019
STAMP