HomeMy WebLinkAboutsubcontractor agreement formPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
` Building & Code Compliance Division
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_ BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
S ' M l have agreed to be
I (Company Name/Individual Name) I
the Sub -contractor for (X
Type of Trade) J (Primary Contractor)
For the project located at jso � W�
(Project Street Address or Property Tax ID #) i qc(c(
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.
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COUNTY CERTIFICATION NUMBER
State of Florida, County of S-i —%A C.l G
The foregoing instrument was signed before me this 20 day of
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who is personally known _or has produced a
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COUNTY CERTIFICATION NUMBER
State of Florida, County of ST L!� C_A ri
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The foregoing instrument was signed before me this
of
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who is personally known or has produced a
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Print Name of Notary Public
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Cotnpally twat e/It1divtdtlat aa�ze)
the _+ Sub -contractor for
(Type of Trade) (Primary Contractor) loco&
For the project located.
It is Understood that, if there is any change of status regarding out pwicipation with the above mentioned
project, the Bididing and Code Regulation. Division of St. Lucie County will bo advised pursuant to the
filing of a Change of Sulu -cant -motor notice.
A
CONTRA i � INATURV (Qualifier)
ANAMElyRtN
C l"i' CLR'1'lf~')CA'l`]L)l'+i NUitll?lrR
4t;aW t'Florida, County of:rs L "C-t 6
The foregoing instrument was signed before me thlsZed y of
D 202, by
who is personalty known or has produced i
a l en#ltieaton.
4Sig.f Notary Public
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PrintNameof otary Public
•ti?;?<,"-, AUENE.S.DONOVAN
*: MY COMMISSION # HH 034073
!• o`. EXPIRE$; October 1, 2024
Bonded Thru Notary Public Undorwilett
Revised I[/I t}IEY...••
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SUB -Co R N (Qualifier)
t'T{t NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing Instrument was signed before me this , tia�� of
who is personally known or lots produced a __
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STAMP
i u e of Notary Publtc
Print Name of Notary Public
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,STAMP
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