HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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t r
�.i BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
j have agreed to be
(Co p Name/Individual Name)
the Sub-contractor for
(Type of Trade) v (Primary Contractor)
`
For the project located at [ R PJE_Y_-UPti Ur,n r r I i lc`�rt.,►� f' �
(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.
14 1- . . �& - 4 <
CONTRACT&SIGNATURE(Qualifier) SUB-CONY OR SIGNATU (Qualifier)
PRuq,r NA
KPRINT
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COUNTY'CERTIFICATION NUMBER COLfNTYICERTIFICATION NUMBER
c
State of Florida,County of - (j State of Florida,County of /
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
by Ain
.2011,by _
w o is perso �yk.. or has pro ed a wh is person own or has p ced a
as identification. as identification.
/244&0 . 45��i
TAMP
Signature of Notary P c Signature of Not a ublic
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Print Name of Nota Publi / Print Name of Notary Pub is
Revised 11/16/2016 ��*�'tGs�•,; AUDREY B.HUMPHREY
I;` ' MY COMIdISSION#FF 20192 1r b�
* EXPIRES:March 6, Fg AUDREY B.
' Public Underwriters HUMPHAEY
`:*rF• oe' Bonded Thru Notary +_- MY COMMISSION#FF 1747
EXPIRES. ch 6, 72
,Q Banded Thru Notary 2019
f 84• olary Public Underwriters