HomeMy WebLinkAboutSub-Contractor Agreement/ - �"
the
PERMIT# ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
(ProjectsSlreet;Address1.or)perry Tax ID #)
have agreed to be
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.
CON.T.RACTUR'SIGNATUREZ u`alifer
PRINT'NAME'-
1—r— .
COUNTY CERTIFI.CATION NUMBER
State of Florida; County of
The foregoing instrument was signed before me this (0 day of
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L , 20 (1 by � A M 14 ( G
who is personally known _or has produced a
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A UDREY B, HUMPHREY
MY COMMISSION # FF 174772
' EXPIRES: March 6, 2019
r! yw`J, SondedThniNotary Public Undenvritere
Revised 11/16/2016 gc,:;. ;'ua r_: s��z,�casafi; znaa�caaF,ai$
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SUB-GON_TRACfURSIGNATURE7QuaGrier)
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COUNTY CER IIF CATION BER
State of Florida, County o
The foregoing instrument was signed before me this day of
L , 20_0' by 40eA)4 K- (t: J�i /�L3 )f�[1, D��,•
who is personally known _or has produced a . ✓ �'�
as identification.
Signature of
Print
VL
AUDREY B. HUMPHREY
�_• *: +;IY COMMISSION # FF 174772
EXPIRES: March 6, 2019
;; • ,.�;;� Bonded Thru Notary Public Undenvrilers
STAMP