HomeMy WebLinkAboutSubcontract Agreement ElectricalISSUE DATE .
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Comp an Name/Individual N
the I ,p/a,�
(Type of tra&e)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
or Property Tax ID #)
ve 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.
CO RAC R SIGNATURE (Qualifier)
MINT T NAME
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of
The foregoing instrument was signed before me th`iss'a day of
�2, by 1 1� I:J IJ�SItO
who is personally known or has produced a
a i entification.
1`1P STAMP
attire of Notary Public
Print Name of Notary Public
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Revised 11/16/2016
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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.
STAMP
Signature of Notary Public
Print Name of Notary Public