HomeMy WebLinkAboutSubcontractor Agreement RECU.' 7D FEB 1 Gy� 7
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(CompanyName/Individ a1 ame)
the .P!-,P �'c / N 147 Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at -1 /6 n Sc.,x S-e / x/'
(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(QuaWer) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Sof' .1—V State of Florida,County of
The foregoing instrument was signed before me this a day of The foregoing instrument was signed before me this day of
'b ,20\1 by 20_,by
who is personally known_or has produced a 1 L who is personally known or has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary'Public: Signature of Notary Public
e.Ja v�y�d Ute,\�C V�� •
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/1016