HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division.
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ie -5T Al have agreed to be
(Company Name/Individual Name)
the ��'�l`i� Ct ` Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
(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.
_?Xig?�t4 -,
C6 R SIGNATURE (Qualifier)
)-C/1-70bgth �(!�r�.57���
PRINT NAME
COUNTY CERTIFICATION 77E COUNTY CERTIFICATION NUMBER `
State of Florida, County of=y State of Florida, County of
The foregoing instrument was si ned before me this ay of y� Th f oiug instrument was signed before me this.}daay'o�f
ti9 20 by � a� _ C P, \ W� _ 20(N
who is personally known or has produced a who is personally (mown or has produced a
as identification.
STAMP
Print Namdmf-NoSrPubit�—
„ ANGELA M HUFF
.�o�"aY P�e�:'•.
Notary Public - State of Florida
m ; •_ Commission # FF 234730
"." j- noe, My Comm. Expires May 27, 2019;
OF Bonded through National Notary Ass.
—
Revised 11/16/2016
of
-----ANGELA M HUFF
Notary Public - State of Florida
Commission # FF 234730
My Comm. Expires May 27, 2019
Bonded through National Notary Assn.