HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Promeom oal have agreed to be
(Con any Name/Individual Name)
the A I C Sub -contractor for TNT BU i AP_ P5 47(.°
(Type of Trade) (Primary Contractor)
For the project located at T5D SO -ya nna h
(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.
C OR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1e
The foregoing instrument was signed before me this I(I day of
AQqu 2001I by 3Q3' T) M of r i U
who is personally known al-r has produced a
as identification.
co - STAMP
Signature of otary Public
06M\fn 1 AcLec7d
Print Name df Notary Public
�Or r Notary Public State of Florida
Caitlyn McLeod
My Commission HH 015205
Revised 11/16/2016 F W Expires 06/20/2024
SUB -CONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County of, I L 1e
The foregoing instrument was signed before me this M day of
A u 20� by P ) �J\
who is personally known 4-r has produced a
as identification.
lca / 6 / �jy�40� �STAMP
Signature of No#ry Public U
co-M\J r M t^.1.e a d
Print Name df Notary Public
Notary Public Stale of Florida
Caitlyn Mcleod
g My Commission HH 015205
@an Expires06/2812024
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Sub.-contmotor:for
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ectliD
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State of F7ibi'it1a, Gsryui?�
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ISSUE DATE
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MB ONTRACTIO. RAG.1,1., T:
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EVA,
KERRY TOTH
]
Notary Public - State of Florida
W
61 -,H 062221
My Comm. Expires Nov f,*:2024
Banded through National Notary Assn.
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