HomeMy WebLinkAboutSub-Contractor AgreementPERW# ISSUE DATE
PLANmwG & mvnonaw
Building & CodeCohipHance Division
Wsloin
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
V"; have agreed to be
(Co ppany Name/Individual Name)
the E le` rr, -z- e. Sub-cofitractor for
(Typo of Trade)
(Pri=6 Contractor)
For. the.
located at-4,6
(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 SIGNATURE (Qualifier)
PRINT NAME
—o � <
COUNTY CERTWICATIONNUMME—R
State of lorida County of
The foregoing instrument was signed before me thisd Of
-,.-I - C k L�9 (-,2 0 by
who is personally known Y—Ir has produced a
as idendrication.
E, 16Ctk' Alt- - k STAMP
Signature of Notary Public
PeWName of Notary Public
art r Not Public So
Kerr! BOO!,
My COMMISSMq rf. 978543
Revised 11110016 ExPims OWSIMO.-
O CTOR SIGNATURE (Qualifier)
'z PRINTNAME
/ rn
'a4-
COUNTY CERTIFICATION NUMBER
State -fFlorida, couutyof-L- Lxu-%-e-
The foregoing instrument was signed before me tbi,)aday Of
X ,-2Aby I&W-411i�to
who is personally known -V _or has produced a
as identification.
Ab— - STAMP
Sig., Ure of Notary kb�fic���
Print Name of Notary' Public 6
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DOROTHY ANN BASKIN
My COMMISSION# GG 036145
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My COMMISSION # GG 030145
EXPIRES: October2,2020
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