HomeMy WebLinkAboutSUB-CONTRACTOR AGRREMENTISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
rA-y C1 have agreed to be
(Company Name/Individual Name)
the \�c� — s ii��' Sub -contractor for 1
(Type oftrade) (Primary Contractor)
For the project located at 3 Oy 0
(Project Street Address or Property Tax ID #) 2M Cj S 1
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
of a Change of Sub -contractor notice.
T CTOR SIGNATURE (Qualifier)
Se ra A �1. �1 �)'-b
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of C& LAico<
The foregoing instrument was signed before me this 1-- day of
20_U by
who is personally known or has produced a c./
as identification.
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Signature of Notary Public
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Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT
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
\C a� & \�\v r _�0 n have agreed to be
(Company Name/Individual Name)
the C-- � -e c_i' '\ c- Ck Sub -contractor for S e
(Type of Trade) (Primary Contrac or)
For the project located at 'SD 0k3 �-�., w n c� Q� 1 i- �" P 1-Q C'c-a. � (• 3� 1 G �'
(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 -CONTRACTOR SIGNATURE (Qualifier)
P IRP IR N 1' E
PRINT NAME
Y ERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
7ofFlorida, County of G d"G
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
AV� , 2010, by
, 20_, by
who is personally known or has produced a
who is personally known or has produced a
as identification.
;yd$ "Oa
as identification.
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STAMP
Signature of Notary Public
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Signature of Notary Public
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Revised 11/16/2016