HomeMy WebLinkAboutSub-Contractor AgreementISSUE DATE
(Co any Nam
the c
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
For the project located at 1-154
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub-contractor for
(Primary Contractor)
ect Street Address or Noperty Tax ID #)
have agreed to be
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) �i
P T NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of��
The foregoing instrument was signed before me this 9 day of
V 2 %, by
who is personally known _or has produced a
LASHAHNA INGRAM-RAHMING
EXPIRES: December 20, 2022
Bonded Thru Notary Public Underwriters
Revised 1 i/l6/2016
STAMP
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
, 20_, by
who is personally known or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
(Type of Trade)
Sub -contractor for
(Primary Contractor)
For the project located at 'i 3 6 I A (it, Q /:y . 0�
(Project Street Address or Property Tax ID #)
l
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)
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
PRINT NAME
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
State of Florida, County of
State of Florida, County of
The foregoing instrument was signed before me this day of
The foregoing instrument was signed before me this day of
2�U by
, 20_, by
who is personally known or has produced a
who is personally known or has produced a
entification.
as identification.
STAMP
STAMP
S' na e o otary Public
Signature of Notary Public
Print Name of Notary Public
Print Name of Notary Public
mmmgmnmu'
;ove�c: LASHAHNAINGRAM-RAHMING
*_ MY COMMISSION # GG 275060
r.osPo= EXPIRES: December 20, 2022
Bonded Thru Notary Public Undotw ite,
Y
Revised 11/16/2016