HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
OCT 2 6 2021
St. Lucie County
Permitting
have agreed to be
(Company Name/Individual Name)
the nl- c, 0-1 1i/ w Sub -contractor for r T���GJ �-L
(Type of Trade) (Primary Contractor)
For the project located at �� C/ '(;� A4�-�Y ",w S 7-
(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) -CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
C G c �s-79 s S"� cl
COUNTY CERTIFICATION NUMBER
State of Florida, County of 15i
The foregoing instrument was signed before me this e�— day of
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, 20M by �1t\�i c �'O w•JrOz
who is personally known _or has produced a F�
identification.
Signature of Notaryublic
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Print Name of Notary Public
NNA GIVENS
Notary Public . State of Florida
commission » HH 086359
/%Idomm. Expires Jan 28- 2025
h National Notary Assn.
Bonded throug
_Gc7�Lr� Z
PRINT NAME
g2 (o
COUNTY CERTIFICATION NUMBER
State of Florida, County of �Ta
The foregoing instrument was signed before me this %Q day of
ac.� ,2lra�\by 4\beca-o�ny,r\oZ
who is personally known _or has produced a L
as identification.
STAMP
Signature of Notary blic
0-RA G\N/< v\ 3
Print Name of Notary Public
i*RY °�''• DEANNA GIVENS
Notary Public - State of Florida
My Comm. Expires an0 2835 025
Bonded through National Notary Assn.
STAMP