HomeMy WebLinkAboutSubcontractor Agreement 02/05/2021 02:41 7728793916 ALL HOURS PAGE 01/01
PERMIT ISSUE DATE
�LANN�NG & DEVELOPMENT SERVICES
Boildiag & Code Compliance Division
COUNTY
BUDDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Comp Namelln ividual NaftA
the _ IYA�Q C C � Sub-contractor for
(Type of Trade) (Primary Contraetdr)
For the project located at
(Project Street ddress or P)Tperry Tax #)
It is understood that, if there is any change of status regarding our participation with,the above mentioned
project,the Building and Code Regufation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR StGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRIN�C NAMC PRINT NAIMII;
0 _ lJOd / "
COUNTY Y CERTIFICATIO `� COUNTY CERTIFICATION NUMBER
S Lu
State of Florida,County of _ _1 State of Florida,Fiorida County of
The foregoing instrument was signed before the this day of The foregoing instrument was signed before me this day of
r�
700�j by PLC_ t�►1 IaSS\� R� " ,.2Q by�
who is personally known_or has produced a who is personally known_or has produced a
ns identlfieA0011. ratification.- - 1/0-
STAMP gi i STAMP
Signature of otnry Pu Itc ipnBturC of Notary Public
Print TVaWof Notary POLW f, Print Nam,of Notary abbe
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srnte�L N VA
My GOIa'"o�n w G y Ub/1, �'*v� .� Notary PuhRHIANNO stateofiFloHda
Revised 11/16/2016 pcCpO 272124
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