HomeMy WebLinkAboutSub-Contractor Agreementj�
1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Com Namrr;
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the L' G Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at
(Project ,tree , dressior,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)
PRINT NAME
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
W M WW.
COU14TY CERTIFICATION NUMBER COUN1 Y CERTIFICATION NUMBER
State of Florida, County of� State of Florida, County of i •
The foregoing instrument was signed before me thisyyd�ay of _ The oregoing instrument was signed before me thispday of
2�by �i .liay , , C- U� � " 2�by 1) J&T 1 Mtday
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Uho is ~ ersonall known or has produced a w is personally (mown or has roduced'a
P Y P P llY P
as, identification.
I A I F, A, na�l STA
�1 . 1 1 1� - 1 1 Z/
as identification.
" W,�" An�n�. STAMP
Sign ture of Nota lie
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Print am to ub i
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B. HUMPHREY
Print Name of Nota Public
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AUDREY
l-AY COMMISSION # GO 300817
March 6, 2023
AUDREY B. HUMPHREY
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MY COMMiS ION # OG 3J
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EX PIKES'
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Revised 11/16/2016
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