HomeMy WebLinkAboutSub-Contractor AgreementISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,l o 111aJ L . U44) 14A-vQ tP J have agreed to be
(Company Name/Individual Name)
the R 6'0#/)q Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at f -7 o &- a 1-6 f='iOA- fib
(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.
— A 44 r, 11'�X4 &:ili�
CON CTOR SIGNATURE (Qualifier)
-10HA) �- VAAJ 14*110z)
PRINT NAME
l'lL
COUNTY CERTIFICATION NUMBER /�
State of Florida, County of D l ' I k C (
The foregoing instrument was signed before me this � day of
\1 iry - , 20.PA)y o h n re n
who is personally known _or has produced a
as identification.
Signature of Notaqf ublie
C>x
Print Name of NoVPublic
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4��-
SUBVNTRACTOR SIGNATURE (Qualifier)
JD N 0 G. VAIP k4o ,d
PRINT NAME
5
COUNTY CERTIFICATION NUMBER
State of Florida, County ofu C)
The foregoing instrument was signed before me this 9- day of
U�l Y 209 by � h
who is personally known _or has produced a • . Q
as identification.
(I—J—hJ,1V
cry^, STAiviP
Signature of Nota ublic
Print Name of Nota I
Public`)^
=F---"�My
REY B. HUMPHREYAUDREYB.HUMPHREY
,_MY COMMISSION 9 GG 300817
MISSION GG 300817 :Revised 11/16/2016 RES: March 6,2023EXPIRES: March 6,2023
Bonded Thru Notary Puhlic Underwriters
ru Notary Public Underwriters