HomeMy WebLinkAboutSubcontractor Agreement (2):.NI,5.A'IR:AIR. .CONO.I*T'I*O'N.IN' G- hdt b have aW.490=.
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KlilS-TIN::'B.AIT.S'.i.OLTS.,,:::
MitNifiWOUNotary Public.
Revised 111:16t2016
PERMIT # j� ISSUE DATE j
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�av�_'s 0lurnbinq� rd�'no .
(C any Name/Individual Name)
the I lam b�M Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
RECEIVED
FEB 2 4
St. Lucie Countv
Permitting '
have agreed to be
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 ady� pursuant to the
.filing of a Change of Sub -contractor notice.
CONTRACTORS ATURE (Qualifier)
<2-111
PRINT NAME
11?s-)
COUNTY CERTIFICATION NUMBE
11,, AA
State of Florida, County of, WL/t e—
The regoing instrument was sign efore me thj�t of
e 2t1 In
who is personally known _or has pr ed a G
as identification.
Sig ature of Notary Pu li
"PV4> F—P'N
rint Name ofNotary Public
Revised 11/162016 AUOREY B. HUPviPHREY t
i= ;? tdl'r 00MMISSION if GG 300817
:XPIRES: lurch 6, 2023
l 7hru Notary Public Underwriters. I
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
f�!
COUNTY CERTIFICATION NUMBER
State of Florida, County of_waftaft n
The foregoing instrument was signed before me thi- day+off
20o1C b-, L �'tLk�f i?1 \fl�j k
who is personalty !M- n�or has produced a
STAMP
Stee of Florida
Comm# HHM1595
Expires 12/W2024