HomeMy WebLinkAboutSub AgreementPERMIT #ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB.CONTRACTOR AGREEMENT
,{eo /,have agreed to be',
(Company Name/Individual Nr
'er'e 0
Sub-contractor for ,4/n*
(Primary Contractor)
d 2cco #'n {en
SUB-CONTRACTOR TURE (Qualificr)
NAME
CERTIFI
.fir'h ftobcn /.fir" ,r,the er
(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.yr*
(Type ofTrade)
For the project locatecl -.
SIGNA'
7
State of Ftorida, Counrl, * NWrlt f.,
The foregoing instrument rvas signed before rn. $,i, 4*tuy or
zo/l,ny
who is personally knorvn or has produced a
as identification.
o
NUMBER t t- Il*{-
Statc of Florida, County of S-r - l^ Lrr r' (-
The foregoing instrument rvas signed before me this
20[-\ uy rievt- \o( e/5
rvho is pcrsonally knorvn or tasp.oorceu.>L$Sa -
as idcntification.
a-
of Notary Public
T/fYi 4,*rt obr
,TION NUNIBDR
dav of
Signature
STAtrIP
ITARYtEE[,{AINSPublic
Name Notary Public
,r * MY coMMtsstoN # cc 06464S
E\PIRES: Mardr 0 202i / is o- ?--.nt IV
#Notary Public State of Florida
Lisa Bonura
My Commission GG 223725
Expires 05/3112022
Revised llll612016
thru &dget Nohry Sorvicss Print Name of Notarv Public
STAMP
er
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froarta.Dt .
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