HomeMy WebLinkAboutSubcontractor Agreement PERMIT# — ISSUE DATE
W m us�• PLAMMG& DEVELOPWW'SERVIC.ES
Budding&C-6&Compliance Division
J9MW NG PERMrf
•8imJ .C®NTRACTOR AGMEMENT
ec 74r, -c- -�•�'� �- have agreed to be
(Co play Name/rhdividual Name)
the G f�'�T t,z / Sub-contractor for ri ,7 -c /10e& /���-1 c'.•�%�c�/l
(Type of Trade) (Prima&Contractor)
For the project located at C L c-' a 5
(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.
\CONTRACTOR SIGNATURE(Qualifier) O ffRACTORSIGNATURE•(QualiHer)
PRINT NAME PRINT NAME
\C,-)<:z<4R P q
COOTY CERIVICATION.NUMBER COUNTY CERTIFICATION NUMBER i
State of Florida,County of _. l,V_'.�_ state of Florida,County ofl�A_Lxxs�°Z
�cThe foregoing instrument
was signed before me this\ day of .:.: The foregoing instrument was sig�ned�before me this\l N y of.
:2d\1),by q f__ &
who is personalty known Y—or has produced a r;a who is personally lmgwn J/_or'has produced a
as identificatiom as identification.
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STAMP •;:• .STAMP
Signature of Notary Public Signature of Notary Public-
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Print Name of Notary Pubfic Print Name of Notary Public
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SM-CONTRA T'O A
GItE1~•''ANT
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Coti�tor Control -of St. 'Lucie 'County, InC.. have agreed-to'be j
(Company Naine%i ividual Nile)
the xV-C Sub-c6ittkefar-for W ..n-ne be-velo •meat Coo . �
(Type of Trade) (Priaiar3►Contractor)
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For the project located at \ C'nC.t1 o
(�'ngiect Street Aa&vgs or�ropdW Tax ID#�)
It is undorstodd;:that,if there is any OhangO-Of status.�r�e,(iing Out pair Oipa ion•with the above mentioned.
project,the 134ild ng'and'Code Regitlatxon DiASNOn-of St:Ernie County will be advised puist t to the
Ming of a Change of Sub-contractor-notice.
CONTUACTOR S)<GNATU1tE(4uaTiSele). GID •. IONA UI+E(QualGfier)
t:hav Lyle Wytine S.ar erman
PRINTNAAM _ P=T NAME
COUNTY'CERTIFICATION NIDMER COYINI"Y CivTtTORCATION NU1VlSER
Stare afpturida,Coaslty of �T, c E State of Florida:County of S'i ui
The fottgoing inStrnritiCut Pva3 Aakied before me thiaj-.�_dq of i` The fdr�eiaz instrument wss staid before me tla I day of
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as faeutsCiea6om a9 identification, '
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