HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to.be
(Company Name/Individual Name)
the for ZG�/✓ �� �� r��
(Type of Trade) (Primary Contractor)
For.the project located at e' /'✓�wZ42
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
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PRINT NAME' PRINT LNAME
COU Y CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
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State of Florida,County of 1 L a. State of Florida,'County of
e foregoing instrument was signed before me this day of The oregoing instrument was signed before me this,,day of
!!�yl_e� l�w /► ,20�yi�-�o is personally knor has produced a 1 � (` h s personally(mown or hasci:d��S
as identification. as identification.
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &'Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
s
have agreed to be
(Company Name/Individual Name)
the �f�7i�� Sub-contractor for
(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. .
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
�C aPRINT ��o1 4JlSCa co PRINT,lee g M- M-0 NI.S-aa C U .
_ DV
COUNTY qtkTIFICATION NUMBER COU Y CERTIFICATION ER-
State of Florida County of
a ,) t State of Florida,County of
The foregoing instrument was signed before me this day of T regoing instrument was signed before me this day of
2MbyL0Xr7Aka zo _ ' C 0 y L C p1L r�
ersona known or has produced a
Jo!rsonally known_or has produced.a 1 G p 11Y p
as identification. as identification.11ud
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