HomeMy WebLinkAboutSubcontractor Agreement i
PERMIT# � + I �. ISSUE DATE
6
(PLANNING & DEVELOPMENT SERVICES
Building & Code.Compliance Division
BUILDING PERMIT
I SUB-CONTRACTOR AGREEMENT
i
ay-to Uq(a y4e have agreed to be
(Company Name/Individual Name
the e �>f--6yt �CQ Sub-contractor for
(Type of Trade) (Pnmary��Contractor)
For the project located at o� �-` Veer rl an�j , G r> P(crC C 3 c1
(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
I
Piling of a Change of Sub-contractor notice.
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CONTRACTOR SIGNATURE(Qualifie SUB-CONTRACTOR SIGNATURE( lifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
Si ate of Florida,County of'5\ State of Florida,County of S
The foregoing instrument was signed before me this f1--day of The foregoing instrument was signed before me this /eZ day of
+20_a,�y g� A �D JX 2091,by�( Z«a
who is personally known or has produced a1_ who is.personally known or has produced a L
a's identification. as identification.
STAMP tUQ-VV STAMP
Signature of Notary Public l / Signature of Notary Public
V �wuq,
Print Name otary ub U ;pera�` Print Name of Notary P is .
P'c S�a�e o��EN N4.id VA�GHN
�!) FLOPO� �•� f / V \ Public
�, a� My miss o ida�o G,�� o� ;o;;ila-notary
;:�;� # GG 27007U
pL't� /; on�2j0o bic ;) rr 22n20 fires
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Revised 11/16/2016 `��