HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
_ " Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
p�cAt CJ-hC4QJS o� �. have agreed to be
(Company Name/Individual Name)
the 5Izzhej* Gr-,l Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 10 q 5 (V,C, W-C'S ` 'J �
(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. L - - "' '
filing of a Change of Sub -contractor notice.
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this
20_, by
who is personally known _or has produced a
as identification.
gn ture of�Public
Print Name of Notary Pub19
Revised 11/16/2016
day of
Ec 13 ooS 8 Sq / Zq 87 s
COUNTY CERTIFICATION NU-MB
State of Florida, County of /T
The foregoing instrument was signed before -me- this � day of
C �"„ 202�g by Y" "t CM 0.RX �✓c
who is personally known or has produced a
as ' ication.
STAMP
STAMP
SI nature of Notary Public
rDOLVI's L �
Print Name of Notary Public
�o�l,Ry ss David Raymond Prue
o� NOTARY PUBLIC
r -STATE OF FLORIDA
r.- a Comm# GG287052
9Hcl:1%fie Expires 1/26/2023