HomeMy WebLinkAboutSubcontractor Agreement (2) RECEWT7D FEB 10 257-
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual ame)
the e ji i P7 Sub-contractor for
Type of Tra / (Primary Contractor)
For the project located at —f/31) -5,0 x'5'-e / A/(/0/r
(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(Qua er) SUB-CONTRACTOR SIGNATURE(Qualifier)
-7-
PRINT
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Sfi 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
c
'\'D ,201,by °��C 1h S�� ,20 by
who is personally known_or has produced a Z L who is personally known_or has produced a
as identification. as identification.
STAMP STAMP
Signature of NotaryPublic Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
RECEIV-'D FB-1 0 2g,17
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
IN
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
ompany Nan}e/ ame)the CJ o �7alSub-contractor for
(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(QuaWer)' SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
Stite of Florida,County of Sfi' .X—y c t C 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
20%1by C0 iN '� ,20_ by
who is personally known or has produced a L L who is personally known or has produced a
�as identification. as identification.
\) STAMP STAMP-
ignature of NotaryPublic Signature of Notary Public-
'Print
ublic
eJa r�y' �,\
Print Name of Notary Public Print Name of Notary Public
Revised 11/162016