HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # "' ISSUE DATE
PLAN-NMG & DEVELOPNRNTSELVICES
Building & lode Compliance Division
BUILDING PERNdff
SUB-Ibol ACTOR AGREEMENT
e�.�' have agreed to be
(Co pang Name/Indivtdual Name)
the E le T , , z / Sub -contractor for LeLdj .�.
(Type of Trade) -�� n � c ��� � I fJ��'►
(Pnmary.. Contractor)
For the project located at �r� S�
(Project
Aauress 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)
PR NAME
COUNTY CERTVTgT10N1NUMEER
State of Florida; County Of��4�7✓
The foregoing instrument was signed before me twsv d of
��r2y.,►�4 �20 1 by
who is personally known �o* has produced a
as identification.
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Signature of Notary Public
Print Name ofNotary'Publie
` •o Florida
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irW O ReYCTtni SIGNATURE'iQuali ier)
rRMMAZ
COUNTY CERTIFICATION NUMBER
State of Florida, County of r t e t
The foregoing instrument was signed before me this�t3� day of
who is personally known _Xt" _or has produced a
as identification.
STAMP
Signature of Notary Public
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