HomeMy WebLinkAboutsub contractor agreement PERMIT# l_ ISSUE DATE '
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
.qeco have agreed to 12e
(Comp Ay Name/Indivi al Name) j
the Sub-contractor for
(Type T de) (Prima Contractor)
For the project located at .f
W o
(Project ttreet Address or Property Tax rD#)
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.
T NATURE(Qualifier)f SUB-CONYUA �Z' J
ATUR (Qual ier)
.9G ���✓
PRI NAME PRIN A
COUNTY RATION NUMBER COUNTY/CERTIFICATION NUMBER• )
State of Florida,County of _) �, State of Florida,County of" W e,
The foregoing instrument was signed before me this day of l 1 The foregoing instrument was signed before me this��1day of
,200�#b 1 1 J,�PJ W ZQ�by� [/�d+Sly
� 1
who is personally known_or has produced ` who is persona ly known_or has produced a
as identifies' n. as identification.
et 6
Signature o Notary Public �7- �t''I�/ Signature of Notary Pub'
Print Name of Notary Publi Print Name of Notary P blic J
AUDR�Y B'H�MpHREY 1
os!� " to COtrOMM1tON 6�21 :GYP AUDREYB.HUMPHREY
a9 •..y ,
MY
023
Revised 11/16/2016 s)CPIRES �ficUnd EXPIRES:March6 2023 7
m9'T�:•per:` Il •�FOF RAP:•Booded hru Notary Public Und"llm
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