HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUMDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the 92 n,n, &-, r1, Sub -contractor for H& .r lam, A e4% 1: t nS
(Type of T de) (Primary Contractor)
For the project located at 14 a14hP?ice , �orj-Pi�rGe F ,
(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)
"(l-IC1K-f-)
PRINT NAME
2Sc- 6S9 .
COUNTY CERTIFiCA'I ION NUMBER
State of Florida, County of S\t I C E
The foregoing instrument was signed before me this 2 8r day of
Qr.rt=F IR,E(� ,202a. by hi ark �a��:i n9
who is personally known or has produced a 112LZ (WFV� (16E CS
Revised 11/16
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S CO OR SIGNATURE (Qualifier)
Agmser foal.A; ,.,ez
PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of S 4. Loci r-
The foregoing instrument was signed before me this z 4i day of
opr,,tmloer .2o-Q6 by ,
who Is personally (mown or has produced s fiHyelt L f/eNfe
as
STAMP STAMP
nature o otary Public
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Print Name of NotaryfPubRe
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