HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
'' iMP Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Co pany Name/Individual Name)
the <�;1 C-r��r J L Sub-contractor for
(Type of Trade) (Prima Con
For the project located at
(ProjecSeetAddror Property T 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 b,7advised pursuant to the
filing of e -contractor notice.
`CTOR-91JC.NAT[i/l►�tE,(�QualiGerJ S AC-1T0WSIGNAT.URE�� �)�� __rj�ualifiex)
rra-n &
-PAINT NAME PRINT NAME
COUNTY CERTIFICATIO-� CO Y CERTIFICATION ER ^
State of Florida,County of /` 4& C_ State of Florida,County of (� .
The regoing instrument was signed before me this /Vday of The foregoing instrument was signed before me this/ day of
20iZ by ,20I1,by
who is personally known_or has produced a / ' �c. who is personally known_or has produced a _ r'
as identification. •JCS as identification.
Sig tore of AllP c Si ature of Notary lic
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Print Name of Notary P blic � Pri t Name of Notary P lic
ge
AUDREYB.HUMPHREY
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