HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
�165 - deb
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o -
-- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have ag re d to be
r
(Com y Name ndividual Name) 1 �
the Sub-contractor for `•
(T e of Trade) (Primary Contractor)
For the project located at I
(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) CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME P NAME
31
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION
State of Florida;County of / State of Florida,County of Vt/lzl_-
T/htiPregoing instrument was si ned before me/thi9 day of The re oing instrument�was si ned before me this r day of
! 20 by I t� ( ICI 1 h 20� I,by I� (X f
who is personally known ✓or has produced a who is personally known or has produced a ' �/�
Ja e ti'Cation )asitification.STAMP STAMP
Signat re of Not ry .ublic re*otPDb1fiic'
Print Name of Notary Pahl Print Name of Notary Public
.?Y"�9•. NANCY MIMS ARMSTRONG
°'• �'=
r MY COMMISSION#FF197899 a+'ru
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MSTRONGEXPIRES Februa 10,2019rY N#FF92089u; 3 F?o;i:s;�Nola.ryService.wm = ' ary 90,(40739ervice.00m
Revised 11/16/2016