HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # `C/ O — O / 3 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
e a + l Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
f _ St. Lucie County
1�t G 3;Kc have agreed to be
(Company Name/IRdividual Name)
the eLC-C i -1 L-Al Sub -contractor for 6r11N M /> K 110i tt s 1,11C
(Type of Trade) (Primary Contractor)
For the project located at 10 3 / 0 O C,641V 6410, 0-07- 6 ®/ — P S. J , , R, ,
(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
C6C`7
COUNTY CERTIFICATION NrBER
State of Florida, County of
The foregoing instrument was sign'edb�efore me this_, day of
20//(by �(../�f`11
o is peonall known _or has produced a l—
as identiflta on.
STAMP
Public
1NRY YANIRA J. PENA SANTIAGO
NOTARY PUBLIC
v STATE OF FLORIDA
` = Comm# GG178725
1 Expires 511912022
Revised 11/16/2016
— wgi� av'tl�
SU CONTRACTOR SIGNATURE (Qualifier)
:Brc.Ety\ Gyyn.b-r4s
PRINT NAME
e�' 13005sg5 �89)7
COUNTY CERTIFICATION BER »
State of Florida, County of,r
The foregoing instrument was signe/dd before me this day�o7fy _/
who is personally known _or has produced a_:.%— ✓
7179�
`�
STAMP
ignat re of Kotary Public
� �
yaiairQ, j -f�ln i
Pri t Name of Notary Public
..ov._ YANIRA J. PENA SANTIAGO
W.,
NOTARY PUBLIC
STATE RECEIVE® FLORIDA
Cornm# G178725 Comm# GG178725Expires 5/19/2022
JUL 25 2019
Permitting Department
St. Lucie County, FL