HomeMy WebLinkAboutSub-Contractor AgreementF .
CO,C1 NT'Y
�F iL O R L. D A
the
(Type
PLANNING 4 DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Name/Individual Name)
Sub -contractor for
(Prim Contractor)
have agreed to be
For the project located at 61 ZZ , ai4n,) i1,ue
(Project Street Address or Property Tax ID #)
i
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.
/VVVI
Co"CrOGNATU/R/IE,(Qualifier)
PRINT NAME
CAL I N (L--),Lo
COUNTY CERTIFICATION NUMBER
State of Florida, County of _ 4L__` V CA�_
The foregoing instrument was signed before me this ( day of
20f, by
who is personally known or bus produced a
as
r - STAMP
'ublic i
i
Print Name of Notary Public
I
,1,�'rB�•, L
',;CJAMES
MYMMISSIORNOpUGANG 008627
0EXPIRESNavember4,212
�N Bonded Thru Notary Public Underwriters
Revised 11/162016
SUB_cioNTRACPOR SIGNATURE (Qualifier)
PRINT NAME
SAL I�S�1 Z�
COUNTY CERTIFICATION NUMBER
State of Floridn, Comity of IE-L-41"t
The foregoing instrument was signed before me this day of
AY
who is personally (mown or has produced a
as identification
b.i STAMP
Signature of otary Public
Print Name of Notary Public
•`'a'.r!""S+ JAMESROUAN
' ° = MY COMMISSION # GG 008627
EXPIRES: November 4,2020
Bonded Thru Notary Pubic Underwriters