HomeMy WebLinkAboutSubcontractor Agreement Oct 031711:31a JBR Exteriors Inc. 7728716377 p.1
PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
'4 Building& Code,Compliance Division
RECEIVED
-- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT OCT O 3 2017
PERMITTING
St. Lucie County, FL
_ 'i(;�� have agreed to be
(Company Namelindividual Name)
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at (C6o
(Project Street Address or Properfy 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.
' z
CONT CTOR SIGNA'PtJRE
1 (Qualifier) SUB-CIONTRACTOlt SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County ofST 4LUr i:e State of Florida,County of S Z:Woe
The foregoing instrument was signed before me this day of The foregoing instrument was signed before we this day of
@1CT ,20/7by - 10 C1, 20L by
who is personally known 116or has produced a who is personally known or has produced a
as idenfl eayon. as idea' op.
STAMP t STAMP
7Print
of Notary ublic 7int
of Nddry
Name of Notary Public me of Notary Public
REEK]
State of Florida
ne AlberlCoryon GG 020879Nota Public State of Florida
r202o Joshua Shane Alberico
My Commission GG 020879
Revised HA 62016 orY Expires 08116/2020
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