HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #-. ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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I
NOV 3 0 '7`21
ST. Lucie County, Permitting
have agreed to be
(Company Name/Individual Name) j_
the ���-�� ��`�- �Qi' I( NAISub-contractor for , ham)'
(Type of Trade) (P—rimaryContractor)
For the project located at �� y���
(Project Street Address or Property Tax ID #) �AiS 77
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.
CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofC
The foregoing instrument was sig before me this da f
µ�•ccw:� by 1} D
who is personally known _or has produced a Me
as identification.
LILbe STAMP
Sig aturb of Notary Public
Print Name of Notary Public;.
=Florida-Notary
NIELSEN-Notary Public# GG 207484°sion Expires, 2022
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COVMTV CERTIFICATION N14BER
/�
State of Florida, County of 1 V
The f egoing instrument was si2ftd efore me this day of
ea do
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
ofNotary P "/-'rttN S. N
State *_ tate of Florida- SEN
Commission N Zy Publi
'0111ii1
��� MY Commissi 07484
June 72 Expires
x 2022