HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
r PLANNING & DEVELOPMENT SERVICES
.-ST. LUC111 Building & Code Compliance Division
�COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
O have agreed to be'Ll
(Com any NameJlndivi ame)
the Sub-contractor for
(Type of Trade) (Primary Contractor}
For the project located at
(Project Street Address or Property Tax ED#}
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.
C
CQNTRACTOR SIGN a&fie f SUB-CONTRACTOR S uarif:er) —
C PRINT NAME �- PPJNT NAME
C0157NTY CERTIFICATION NUMBER COU14TY CERTTFICATIQN NUMBER
State of Florida,County of +t if State of Florida,County of=SUAU r e
The foregoing instrument was signed before me`this day of The foregoing instrument was
as signed fore me this—_1`_day of
MAQK zu 0 by �m 01 h 1,1 r 4 �,��� / '�� ,292a by / /»-I �)-h r'&k
who is personally known—or has produeed a d ht who is personally known i or has produced a
as identification. as identification.
T A111-11-v" n
STAMP TAMP
Signature of Notary blit Signature of Notary P c
Print Name o Nota Public Print Name of Notary Pr lic
AUgREY B.HUMPNREY
- < Y FI/'•� AUgREY B.HUMPHREY YPUc� GG 304$17
MY COMMISSION#GG 300817 ;_ COMMISSION#
IRES:March 6,2023 .• Q EXp1RES:Matte 6,2 de ers
EXP Underwriters :m„9 �• N ,WypubiicUn erwrit
=,•'r oQ,
Bonded 11uu Notary Public Q nd N
occ;; t30 Bo
Revised 11/16/2016