HomeMy WebLinkAboutSubcontractor AgreementPERMIT # �,(�, �i�� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r�%/�fj have agreed to be
(Company Name/Individual Name)
the Sub -contractor for /�. f c
(T e of Trade) (Primary Contractor)
For the project located at /V, oe�l
(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
of a Change of Sub -contactor notice.
n7zdl;,� 4'
PRINT NAME
COUNTY CERTIFIOXTION NUMBER
State of Florida, County of S+- [A C..-
The foregoing instrument was signed
before me this 6-day of
20ay
who is personally known _or has produced a
as identification.
STAMP
Signature orNotVy 111d6fic
Print Name of Notary
Revised 11/16/2016
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&4, Missio d# Notary PUbl
27
Z�onk- -8ion Fl—;_ s
SUB��,6N RA OR SIGNATCRE kQuatifier)
G''r t
COUNTY CERTIFICATION NUMBER
State of Florida, County of ( 1 I L�
The foregoing instrument was signed before me this day of
2by
UOf1�'� MGfN7A1-Fl
who is personally !mown or has produced a
as identification.
1,� STAMP
Signature of Riotary Public