HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
T�aJ �A V=txSV-Z---1 have agreed to be
(Company Name/Individual Name)
the�� �`& P—.g- 12yor-, Nip Sub -contractor for UJ61 ✓ o0
(Type 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.
CONTRAC R IGNA E (Qualifier)
PRINT NAME
eld
COUNTY CERTIFIC TION MBE
State of Florida, County of (�
The foregoing instrument was signed before me this J day of
T . 2QZby
who is personally known _or has produced a NA nty
as identification.
///[�' Yl�� STAMP
Signature of ota P
dblic
c���
Print Name of Notary Pu li
Revised II/
'� •; AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
°F ".•' Bonded Thru Notary Public Underwriters
SUB-CONT NATURE (Qualifier)
P",o
PRINT NAME
COUNTY CERTIFICATIbN NUMBER
State of Florida, County ofm*���
The foregoing instrument was signed before me this day of
,� ^
who is personally known_ or has produced a
as idea ' cation.
�SWAMP
Signature of Notary P c
b2fid.
Print Name of Notary blic
AUDREYB.HUMPHREY
MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
Bonded Virtu Notary Public Underwriters
I i(.