HomeMy WebLinkAboutSubcontractor Agreement f -
PERMi7# � E CV�� - ISSUE DATE
PLANNING&DEVELOPMENT SERVICES
Building& Code Compliance Division
BUILDING PERMTP
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Nameftdividual Name)
the �n j s� — _Sub-contractor-for
(Type of Trade) v� (Prwwy Contractor)
For the project located at /off� �� 5: - 4
(Project Street Address or Properly 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.
-7v-
CONTRACTOR SIGNATURE(Qualifier) SUB-CO C[OR SIGMA (QaaTdler)
PRIMO NAl1fB PRINT xAivtE
COUNTII CERTIFICATION NUMER COUNTY CSIYfQtICATION NUN3ER
State of Flarida,Cously o[ ` T- u V11 C_ State of Florida,County of
The foregoes Instrument was signed Whm me ft day of The foregoing instrument was sitined before me this day of
Lill
who is personally known_or has produced a who is-pe nagy hnawu_„_or has produced a
ss Id ttficatiom ss identifieation.
STAMP
lure of No Pum $kmture of NotaryPantie
1� ' � .,
!lint Name of No Print Name of Nsttiry Public
AUDREY B.HUMPHREY
GG
MY 300817
MY COMMISSION#
EXPIRES:March 6,2023
Ravisedll/162016 '•rFOFF�°Q° BondhtuN° !P"bl1CUndenxritets YPi AUDREYB.HUMPHREY
edT
"'�`�; 3008 i7
MY COMMISSION#GG
EXPIRES:March 6,207.3
n�imtirlters
';FdFF;°Q' BondedThruNotMPubficU
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