HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�gllW,41-1— (f
the Sub -contractor for
(Type of Trade)
(Primary Contractor)
have agreed to be
For the project located at ��(:5 fic--t 5 �� , f1' C4�2 �J
(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.
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CONTRACTOR SIGNATURE (Qua i ier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 6k-.
The foregoing instrument was signed before me this day of
who is personally known _or has produced aL� L
as identification.
STAMP
Signature of Notary &blic
\�7'�ct► vwnti l� \V`e v`�
DEANNA GIVENS
r°/•���': Notary Public - State of Florida
g`s Commission # HH 086359
•.,•ocF;,: My Comm. Expires Jan 28, 2025
Bonded through National Notary Assn.
Revised 11/16/2016
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N`TRACTOR IGNATURE (Qualifier)
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.PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Nogg
The foregoing instrument was signed before me this1� day of
20! -1 by I da S
who is personally known or has produced a
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MY COMM010N # �G 275060
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STAMP