HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
��/q2 . �f2-r� ��ri�r�/�•P/ �,g have agreed to be
(Company Name/Individual Name
the ,�f f C.,%y a f"V 6 Sub-contractor for L�, C
(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.
ONTRACTOR SIGNATURE(Qualifier) Z41
SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ��[ State of Florida,County ofGL LI.---
The foregoing instrument was signed before me this Z Z-day of The foregoing instrument was signed before me this Z"y of
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who is personally known or has produced a ,1) who is personally known_or has produced a N—
as identification. as identification.STAMP � &),, STAMP
S,gnature of Notary Public V,
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Print Name of Notary Public Print ame of Notary Public
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Revised 11/16/2016
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