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HomeMy WebLinkAboutSubcontractor agreement 1 I, PERMIT# / ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT I �� /� G✓ e/ S/, . ve agreed to be (Company Name/Individual Name) the 6/c-c T r! C� Sub-contractor for (Type of Trade) (Primary Contractor) r For the project located at (Project eet Address or Property tax #) 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. CONTRACTOR SIGNATURE(Qualifier) UB- NTRACTOR SIGNATURE(Qualifier) .1 Y G,� �sl �l l✓e�s� PRINT NAME PRINT NAME COUNTY CE TIFICATION NUMBER COUNTY CERTIZICATION NUMBER _ State of Florida,County of �„�/� State of Florida,County of �� � T regoing instrument was signed before me this�\day of The foregoing instrument was signed1 I/before me this � this day of �O by � � b 287—Ay l Cy A& who is pe ovally known_or has produced a who is person 1 mown_or has produced a as identification. as identification. �^ STAMP &V STAMP Signature of Notary Public Signature of Notary Public V C l � Print Name of Notary Public Print Name of Notary Public ELLEN VAUGHN moo`"avP�e�'- State of Florida-Notary Public ;Np-p6in ELLEN VAUGHN =• •: Commission # GG 270079 ;? ^State of Florida-Notary Public oP =N s9� � My Commission Expires = T; Commission # GG 270079 October 22 2022 %. ovv�o; M Commis�; „�� y sion Expires ©etober 22, 2022 Revised 11/16/2016 - --