HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
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Building & Code Compliance Divi ' - -
REGEIW9D
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAR U 6 ?020
ST. Lucie County, Permitan-1
have agreed to be
(Company Name/Individual Name)
the PC?�Y l G Sub-contractor for
(Type of (Primary Contractor)
For the project located at Cp
(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.
CONT CTOR GNATURE(Qualifier)' SUB-60NTIPOOR SIGNATURE(Qualifier)
`Pr"iker
PRINT NAME �^ PRINT NAME ,p
VI ecc-
COUNTY CERTIFICA ON UMBER COUNT CERTIFICATIOM !
State of Florida,County of_� State of Florida,County of 1�
The foregoi instrument was signed befoN
a this day of The foregoinr ,20?
ument was signed be'fo're me this L da of
Y� 20 b ,b+ � Y Y p'
who is personally known_or has produced a L who is personally known_or has produced a
as identificatio as identific *on.
L
CAMP STAMP
Signature of Notary Public ignature of otary Public
Print Name of NFE
a Print Name of Notary Public
KAREN S. NIELSENState of Florida-NotaryPublicCommission # GG 207484 Ir0'om: My Commission Exp,lune 12, 2022 NIELSEN
,111,1,, KAREN S. public
1PNY PUB��
o ��-State of Florida-NOtar .
Revised 11/16/2016 * ._ Commission#GG 207484
My Commission Expires
June 12, 2022
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