HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
* ' BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�� have agreed to be
DDo
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Com y Name/Individu I Name) �v1 they KSub-contractor for U
(Type of Traded(Prima 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
COUNTY CERTIFICATION NUMBER
State of Florida, County of j
The foregoing instrument was signed before me this day of
/ 20!74by
who is personally known or has produced a� „5 "
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5k W"-r
The foregoing instrument was signed before me this day of/
20�&by
who is personally known _or has produced a
:�
)b, as identification.
as identification. °q°�
111, n
STAMP
nature o Notary Public n 3T� Signature of Notary Public
60N'r
d w � m Print Name of Not abbe
Print Name of Notary Public 0 — Z C
�7 �- ,��SpRV pU//
�m -n ,f, HEATHER
ox �,� _, StateOfFloridaSURFORD
Commission # G taf y Public
My m 183217
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Revised 11/16/2016