HomeMy WebLinkAboutSubcontractor AgreementPERMIT # 2—QID _)o _S01► ISSUE DATE 4
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 LO
( omp Na�m e/Ind ` i6al Nae)
the c�RPt Sub -contractor for
(Type of Trade) (Primary Contractor)
have agreed to be
For the project located at
(Project Street Address or PropertyTax 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.
I
C NTRACTOR SIGNATURE (Qualifier)
r 1 ui�' -
PRINT AME
COTY.CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
SUB- ONTRACTOR SIGNATURE (Qualifier
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PRINT NAME
v%.) ) A
COUNTY'CERTIFICATION NUMBER
State of Florida, County ofJ
The foregoing instrument was signed before me this
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1" 20�iy 0� �. , 20 Q- J G e
who is per onally known or has produced a }y�g is personally known or has produced a
as iden 90 1 C as identification.
P 'STAMP
Signature of of ry Pu lie Signature of Notary lic
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Print Name of Notary Public 1
AUDREY B• IiUMPHREY
s-
t AY Noa�
MY COMMISSIO[� # GG 300
t. `= EXPIRSS: March 6, nde
4!• �a ( bondedmtu Notary PublicUndensdle�
Revised 11/16/2016'•
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Pri t Name of Notary Public 12.1
AUDRELHEY
#, MY COMM00817
EXPIR23
Bonded Thru erwriters