HomeMy WebLinkAboutSUB AGRMT PERMIT# ISSUE DATE
r N PLANNING & DEVELOPMENT SERVICES
3 Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
r
1 n�(i j � have agreed.to be
(Company Name/Individual Name)
the Sub-contractor Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at1/
(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
J r
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-C R SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of �.� �, State of Florida,County of T C:I 0.
The foregoing instrument was signed before me this �+�day of The foregoing instrument was signed before me this ii_ Vay of
M U�20�by� ! t &ru\ .202L by C t 1 C!J W o Q
J
who is personally known or has produced a who is personally known�or has produced a
as identification, as identification.
STAMP w STAMP
Signature of Nota Public Sig ature of riot Public
Print Name of Notary Public Print Name of Notary Public
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Revised 11/16/2016 �'