HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
J0,MILC have agreed to be
(Company Name/Individual Name)
the 0 e-c-t r.C Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 3a 14 a3 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.
CONT OR SIGNATURE(Qualifier) S C TRACTORSIGNATURE(Qualifier)
�!1-rn,s lor� �c° �t�rnos 1��oroUsk ` .
PRINT NAME PRINT NAME
IN 1hr.
COUNTCERTIFICATION NUMBER COUWY CERTIFICATION NUMBER
State of Florida,County of �I C 1 State of Florida,County of 'I:II �VLC y
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of r J
20.-& },by kS 1 1 Q V V MA-Lq��1 ,2a by
who is personally known_or has produced a 1 who is personally known or has produced a
as identification. as identification.
STAMP •STAMP
Signature of t ryPubG Si ature of Nota Public--
Print
Print Name' Nota Pu �c int 14ame of Notary P lic
AGOR1 S,p# R30 817
GREY PHREY
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