HomeMy WebLinkAboutSub-Contractor AgreementNTY
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'PLANNING & DEVELOPMENT SERVICES
Building & Code Complbincc Division
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
n,. l t ! have agreed to be
(Company Name/Individual Nm ae) `
the G rle Sub -contractor for
(Type of Trade) (primary Contractor)
For the project located at 7901 Santana Ave Permit # SLC 2009-06.37
(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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
c -;5
COUNTYCIE1EtT CATIONNUMBRR
Smte of Florida, County or CAE--
The foregoing instrument was Signed before m'e•thi day of f
who is personAW tmown L-- lias.produced n
as identificaon.
STAMP
Signature of Notary Public
Print Name of'Notary Public
6.
Q N91ary Pubtio Stale of Florida d
An'land8 P SandAtsCn ?;
MyCog"IM ssion GG 2'112S6
nF ExPrras 04/25/2022
Revised 1 6 16
SUB -CONTRACTOR SIGNATURE (QuAUBer)
PRINT NAME - -
COUNTY CERTIFICATION NUMBER
state of Morida, County of S = L�✓ e, The foregoing instrument was signed before me this s day of
who is personally knowtL or ltas produced a
asidentiScktion.
STAMfP "
Sigoature o otary public lu
f 1Q1�'�tn L'1 i- Gl "i G�J ....—
Print Na Notary Public
Notary PpubkS�mie of Roride '
Karyn t, Drawd
My Corraslfan un t30 202W
�ror w Ffrplree b2/t 1!M29