HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ize I have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at g2 A� Zone Lam 1iA
(Proj ect 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.
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CONTRACTOR SIGNATURE (Qualifier)
&� ' 4i �s
PRINT NAME
COUNTY CER IFICATION NUMBER
State of Florida, County of !%.)
The foregoing instrument was signed before me thisy day of
2Q by r
o s personally known _or has produced a
as identification.
au" STAMP
Signatu a of Notary P I
is
Print Name of Notary lublic —V j
AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
*' EXPIRES: tJarch 6, 2023
F ° BondedThrutdota,y blicUndenxriters
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
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PRINT
NAME
YV
COUNTY 4tERTIFICATION NUMBER
State of Florida, County of'��AIA
e foregoing instrument was signed before me this ' day of
20;�)' by -Br) A to t0tr
w o is personally known _or has produced a 1 G
as identification.
c m � "Nmp
Signature of Notary Public
Q�ir'ein
Print Name of Notary Publi
i
AU7REREYMY CO300817EX023Bonded Tndervrriiers