HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' ( Building & Code.Compliance Division
COUNTY
D
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
q ) 14eto 1 a have agreed to be
(Company Name/Individual Name)
the EkfAr;co, 1 Sub-contractor for-
(Type of Trade) (Primary Contractor)
For the project located at S73( C11 QSC & (.A4-,L
(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.
COKY1KCTOR SIG1`
NATURE((Qualifier) S N�/TRACTOR SIGNATURE(Qualifier)
1�il�Ap�lt'L.1 &rola "14 he c.) �Pra
PRINT NAME PRINT NAME
COUNTYTIFICATION ER COUNTY CERTIFICATION ER
State of Florida,County o State of Florida,County of
The foregoing instrument was signedbeffdre me this day of The foregoing instrument was signed before me this day of
2q ]by / '' IAMQI. gotL,20JF>by '
who is personally known_or has produced a �' who is personally known_or has produced a A/ 1-
as identification. V as identification.
STAMP
Sigoatur ofo a is Signature of Notary u
c
Print, ame of tary u li Print Name o ofary P blic
AUDREY B.HUMP'
HR
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MEXPIREBSMarrchF6 92
�^ Bonded Thru Notary Public Undenvri[ers 4..
,
;.: AUDREYB HUMPHREY
MYCOMMISSION#P
EXPIRES;March F1747j2
E4 Bonded Thm*ta Q 2018
Revised 11/16/2016 ryPublioUnderµ�da�