HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# ISSUE DATE
z F rnt PLANNING & DEVELOPMENT SERVICES
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Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
S ' have agreed to be
(Company Name/In�div�iduj Name)
the E lL(& Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at Q 8111z_
(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) SUB-CONTRACTO SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME om
COUNTY CERTIFICATION ER /J COUNTY CERTIFICATION NUMBER
State of Florida,County of 1BJ State of Florida,County of Sk I W16-L
Th orego'ng instrument was signed bef re me
t'hi day of7 The foregoing instrument was signed before me thisdays of
2aby IV I�v 2(li`/by G 1�X1 V�1j1
who is e sonafy known�r has produced a who is personally known 14 or has produced a
as id ti cation. TT a t ntifcatio .
l
a STAMP STAMP
S g a re o otary ubli �gnatur Notary Public
go it
Print Name of Notary Public Print Name f Notary Public
PATRICIA R.HILL
MY COMMISSION#GG 976680 YEE
ic State of Florida
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Revised 11 d�?P' Bonded Thru Notary Public Undenvnlen; sion GG 148729
4/2021
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