HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- — - - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the V_ (_ Sub-contractor for
(T)pe of Trade) (Primary Contractor)
For the project located at
(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. RECEIVED
OCT 0 5 2020
Permitting Department
St.Lucie Co my
CONTRACTOR URE(Qualifier) SUB-C RACTO URE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County ofState of Florida,County of
The foregoing instrument was signed before me thisday of The foregoing instrument was signed before me this day of
`
f c ,20�by�-��� ���1. b ,20c1Pby�ACs1��S �\v �-11�1\
who is personally known .1-01-r'bas produced a who is personally known Jr has produced a
as identification. — as identification.
�0_s STAMP � �( �� `���.y_ � STAMP
Signature of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
;.kv�%rv� STELLA M HUNTER
?° � Notary Public-State of Florida
Commission 9 GG 281062 ;'<►Rr°�' STELLA M HUNTER
oFA. My Corrrr.Expires.,an 23,2013 WN&I Notary Public•State of Florida
Revised1 16/2016 Boncec thrGc;:l Nat?Ona;Notary Assn. � = Commission tf GG 181062
�••.PFr ' My Comm.Expires Jan 23,2023
Bonded through National Notary Assn.