HomeMy WebLinkAboutSub Contractor AgreementPERMIT # � C C ? ` 0_7' 1 2- ISSUE DATE i 0 i :50 /2_0
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) _
the Sub -contractor for e asN c'r1
(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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of QSe'�'
The foregoing instrument was signed before me this �^ day of
Qd 201u by
who is personally known 'or has produced a
as i entification.
STAMP
Sign tore of Notary Public
t . 1
of Notarb Public
MARIBELL RODRIGUEZ
MY COMMISSION # GG 177988
EXPIRES: March 4, 2022
Bonded Thru Notary Public Underwriters
COUNTY CERTIFICATION NUMBER( _ Q
State of Florida, County of \ �Ca C'Li
The foregoing instrument was signed before me this Q_ day jof
Isle-4 , 201.�, by 36- h til a who is is personally known 1_4 has produced a
MARIBELL RODRIGUEZ
c,- MY COMMISSION # GG 177988
.m�rcQo EXPIRES: March 4, 2022
�' FO►F °° Bonded Thru Notary Public Underurtiters
�k)
STADTP
7ARM
COUNTY
'
F L
O R IDA
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) _
the Sub -contractor for e asN c'r1
(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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of QSe'�'
The foregoing instrument was signed before me this �^ day of
Qd 201u by
who is personally known 'or has produced a
as i entification.
STAMP
Sign tore of Notary Public
t . 1
of Notarb Public
MARIBELL RODRIGUEZ
MY COMMISSION # GG 177988
EXPIRES: March 4, 2022
Bonded Thru Notary Public Underwriters
COUNTY CERTIFICATION NUMBER( _ Q
State of Florida, County of \ �Ca C'Li
The foregoing instrument was signed before me this Q_ day jof
Isle-4 , 201.�, by 36- h til a who is is personally known 1_4 has produced a
MARIBELL RODRIGUEZ
c,- MY COMMISSION # GG 177988
.m�rcQo EXPIRES: March 4, 2022
�' FO►F °° Bonded Thru Notary Public Underurtiters
�k)
STADTP