HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT,,yl uur is
the
PERMIT #
of
i
For the project.locatcd at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Nance)
Sub -contractor for Slwa /t'lllC.�ii
(Primary Contractor)
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.
6w%OrR,%croRGNATURE(QuIIifler)
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PRINT NAIVE
COUNTY CERTIFICATION NUMBER
State of Florida, County of429118VC11C
The foregoing Instrument was signed before me this f r. day of
013-b6' (' .20E by
who is personally known _or hasproduced a
`as identification.
` Signature of Notary Public
Public
PrinkPrinli�of q.. c�t���q.. c�t���
eresa Ann Ferrusi
�7 My Commission GG 240804
�andP Expire5071222022
Revised 11/16/2016
SUB:CONTRACr RSIGNATURE(Qualiner)-
'R iracl Cc ry r1
PRINT NAME
�-77D-
COUNTI' ERTIFICATION NURIBER
State of Florida, County ofPqL I m a sere
The foregoing instrument was signed before me this l day of
(JC:'11DEIP Ir ,20 Kby
who is personally known V or has produced a
as Identification.
1
STAMP ter+—�'f' J_P � BTARIP
Signature of Notary Public
Prins 'a ' larNalaYRublic Stale of Florida
Theresa Ann Fermsi
My Commiuie0 GG 2406M
an Expires 07122/2022