HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,�,,?z/V-A 2-,> /.<f-/- A Al have agreed to be
(Company Name/Individual Name)
the 44 L Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at ri-'7� �'l�'-�' �� � �7' A "
(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)
PRINT NAME
1IJ
COUNJY CERTIFICATION NUMBER
''AA
State of Florida, County of R �6
instrument before me this day of
oregoing was signed
ZQkJ by
o s personally known _or has produced a
1J G
as identification.
STAMP
Sig ature of Not��arppy lic
1n
U�
�--�
JD�� %
Prtnt Name of Notary P blic
r/
HUMPHREY '
I
AUDRESSION# GG 300817
o�PPveua�c*- MY COMM
March 6, 2023
Qo, a dlhN ru t4olary Public Unde
Revised 11/16/2016 "''. oFw;°p Bonderm�
SUB -CONTRACT SIGNATURE (Qualifier)
PRINT NAME
IL7
COUNT CERTIFICATION NUMBER
State of Florida, County of R, ✓I
foregoing instrument was signed before me this day of I
Z� by
is personally known or has produced a •jj //tt
asidentif ation.
Signature of Notary Pub
Ipwt) "y �&
Print Name of Notary Public
AUDREYB.HUMPHREY
'? *: MY COMMISSION # GG 300817
_= EXPIRES: March 6, 2023
Public Underwriters
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•FOFe�. BondedThruNotary