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HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the el cc_> -r eco ice_ Sub -contractor forO n YZGL�1 C (Type(Type of Trade) (Primary Contractor) For theP roject located at L © d S -a --I er n o (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 SIGNA (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier). PRINT NAME PRINT NAME i COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMPER � State of Florida, County of �p State of Florida, County o If� C fL--- (� t=—(� G\ � The foregoing instrument was signed before me this�day of T foregoing instrument was signed before me this day of zo�ny . �h (l idy who is perm-1, ly known or has produced a who is pe Ily (mown i, or has produced a Oz as ntittcanon. Name of Notary Revised 11/16/2016 STAMP