HomeMy WebLinkAboutSub contractor agreementCOUNTY
F L O R 17
A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
vLZIUA I have agreed to be
(Company Name/Ind' iduai Name)
the�r Sub -contractor for
(Type of Trade) (Primary Contractor)
Jr?
L
For the project located at ,� ? S'
(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.
Cuv ORSI,
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PRINT NAME
'�%W 26k7g
COUNTY CERTIFICATION NUMBER
State of Florida, Count} of lQy\ F:i ye —
The foregoing instrument was signed before me this ZZdav of
IvXis personally known `i� or has produced a
STAMP
v E �Ylv_ e i Print Name of Notary Puhtic
RENEE E EI8WERTH
MY COMMISSION # GG016744
Revised 11/16/2016 ' EXPIRES July 31, 2020
(Qualifier)
PRI
I r I.RICI IFICATION 1 UD BER
State of Florida, Countv of / '
1
TheBing instrument was signed before me this
2o2-?by
who is person y knotirnor has produce a
of Notan• Public
a
llotary Public State n FloridaJacqueline DeGrandis My Commission HH 007272Of Expires 07/14/2024
STAMP