HomeMy WebLinkAboutSub-Contractor AgreementISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
For the project located at -3 6 O U Q,yy�,�,q��r
(� jeet, beet 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.
CON1tRA r 0 5LG '(Qualifier)
PRINT NAMT
COUNTY CERTIFICATION NUMBER
State of Florida, County ofl/'�
The foregoing instrument was signed before me this d1ay of
V, 20��Y AJ 19 1 0 1 r�iL.
who is personally known _or has produced a { � L
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Pu VAU G H N
o State of Florida -Notary Publi
j2 •_ Commission # GG 270079
My Commission Expires
October 22. 2022 _
Revised 11/16/2016
C O NATURE ualifier)
PRINT NAME 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of /- UtC `
The foregoing instrument was signed before me this 1la day of
20�. by iJa r U
who is personally known _or has produced a (_ L
9V7
as identification.
STAMP
Signature of Notary Public
,kUo�)akko hr-)
Print Name of Notary Public