HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # . ISSUE-bATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the 70e A& V Sub -contractor for
(Type of Trade) (Primary
For the project located at
ect Street Address or Property 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.
/ r �
CONTRACTOR SIGNATURE (Qualifier) n
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of —A �q'//��
The foregoing instrument was signed before me this�J`�/ day of
who is personally known or has produced a
as identification.
STAMP
ry Public
Signature of Nota
Print Nadie of Notary Pubic
HEATHER 13URFORD
=o State of Florida Notary Public
*= Commission # GG 18 i
My Commission Expires
Revised 11/16/2016 February 06, 2022
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
,;all 16WI Z- have agreed to be
(Company Name/Individual Name) j
the 1p_INA 0 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(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.
TRACTOR SIGNA (Qualifier)
1920,
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of .7i •G�/L�
The foregoing instrument was signed before me this ZO day of
20At by F�
who is personally known _or has produced a
as identification.
no-4clt"',' -11�— STAMP
Signature of Notary Public
Print Name of Noffry Public
�`trav a�ei,�
HEATHER BURFORD
;=o State of Florida Notary Public
_+ •; Commission # GG 183217
My Commission Expires
Revised 11/16/2016
February O6, 2l}22
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