HomeMy WebLinkAboutSubcontractor Agreement(Company Name/Indi
the e tnCAr: cc,
(Type of Trade)
For the project located at
vNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Name) .
•'(Proiect Street
have agreed to be
Sub -contractor for A #- 3 6--k C
(Primary Contractor)
d�fJQ f0J Y lerc
s or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
pr,'oject, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
Au,
CONTRACTO SIGNATURE (Qualifier)
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PRINT NAME
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• _ I
COUNTY CERTIFICA IO NUMBER
State of Florida, County of
The foregoin instrument was signed before me this day of
20��by
who is personally known _or has produced a(✓ �ZT
as 'identification.
STAMP
Signature of Notary Public
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Print Name of EL�Notary Pub NoUGH"
EN VA�G Pu')
uw, tary
\`�SPµY PUBG State of Florida- GG 270079
Corr'rniss °nssion Expires
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;q My Comr ar 22,_20_0-
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME .
COUNTY CERTIFICATION NUMBER
State of Florida, County of &UJ `
The foregoing iustrumen--t77was signed before me this a day of
who is personally known or has produced a
as identification.
Signature o otary DigWd
P
GHN
PrintNliof Florida -Notary Public
'* *_ Commission # GG 270079
s9� oQ My Commission Expires
OF FW
"Wo October 2.2, 2022
Revised 11/16/2016