HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # • � •��� � ISSUE DATE
:aST�u 'i it
COUNTY
F L O R 1 D' Fi
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
}A- �— have agreed to be
(company Naluellndividual Name) ir
the _ Q "
Sub -contractor for �w
(Type of Trade) (Primary Contracto )
For the projectlocated at.'q Soo r,
(Project Street
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.
l
COUN Y -CERTIFICATION NUMBER
State of Florida, County ofxx,,t4
The foregoing instrument was signed before me this day of
zll, by lea.
who personally known or has produced a
&'hop
tification.
STAMP
ure of Notary Publih
Print Name of Notary Public
I W {NAINGRAM RAlib!tt t°
ISSION 0 GG 27C•"
*r:'F)(pIRE8:Deeember20,2r.
Bordod'IhiuNowyetbllcunAW
Revised 11116r2016
a
5�
COUNTY CERTIFICATION NUMBER
State of Florida, County of S J— v [)
The foregoing instrument was signed before me this, 0*day of
20.1L, by LC� 46 UPA&L,,..
who f ;crsonally imow or has produced a
is identification.
II, Al Ilk&_ STAMP
Sga"at� of Notary Pu is
Print Name of Notary.Pi lic
.yr hi Notary Public State of Florida
4% Chris L Woolley
Wcouimission GG 185665
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