HomeMy WebLinkAboutSub-Contractor Agrrement 8-8-17PERMIT# I yl Q q _0 _�(09 ISSUE DATE;
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
&RACI)MC
(Company Name/In ividual Name)
thei.��-t"�21P1� I Sub -contractor for
(Type of Trade)
r
PEi:'iM3rrTii•iGi
St. Lucie County, FL
have agreed to be
Gerald Smith / Homeowner GC
(Primary Contractor)
For the project located at 9040 Champions Way, Port Saint Lucie, FL 34986
(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 SI ATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of U—
SUB-CONTRACTO SIGNATURE (Qualifier)
PRINT NAME
EeooO3oz.R
COUNTY CERTIFICATION ��NN%UMBER
State of Florida, County of 1 e L
The foregoing instrument was signed before me this q day of The for .ng instrument was signed before me this day of
4 2011 by a1 . �in�� 20Z�J; by ✓ �u
who is personally known �/ or has produced a who is personally known or has produced a
asp identification.
ldlen� t fication. /� as identill lion. '
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Al, - . �MPb . L/ STAMP
Signature 6f Notary Public, Sigdature of Notary Public \6011I1111IN11I/1/
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Dor�se C. N Iry 110 °oo�`. s oNp'�o'
81I e(�.
Print Nanie of Notary Public ���null Print Name of Notary Public ber 2?ro.o
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Revised 11/16/2016
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