HomeMy WebLinkAboutSubcontractor agreement �I
PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division
• BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AqA� 1 ��V U l L have agreed to be
(Company Name/Individual Name) <
the ( — ►ecr ` '
Sub-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
tiling of a Change of Sub-contractor notice.
CON RAC•rOR SIGNATURE(Qualifier) 4SUB ' 7 A ' It SiC ATURE(Qualifier)
PRiNT NAME PRIM'NAME
CPCi (30 1275
COUNTY CERTIFICATION NUMBER ` COUNTY CERTIFICATION NUMBER
�I
State of Florida,Comity of^! cA e—, State of Florida,County ofST 4A C1 e
The foregoing instrument was signed before ale this1_�Z>uy of �' The to going instrtunen't�was signed before me this
(1 0 day of
2010.7y C_-�-` }v v+� - ;J �� _,20 L'by �1"� V I- .I'�t f/u IG.
who is personally known_or has produced a who is personally known;o°r luis produced a
as entification. as=a.
p STANIP
S'goature of Nola liblic Sin firfaume_
otary Public
yr i
Prin me a o try Public Print Name of Notary Public
%kill ANGELA M HUFF
x . ° Notary Public-State of Florida ; cps( ; jAYME CHAVEZ
Commission#FF 234730 MY COMMISSION#FFS91925
My Comm.Expires May 27,2019 '+ EXPIRES May 12,2020
,.
Revised`i i/16f20f� Bonded through National Notaay Assn. laoise•os3 Florldallo�a Sarvme.com