HomeMy WebLinkAboutSub-Contractor Agreementthe
Name/Individual Name)
Qy
(Type of Trade) '
For the project located 'at �-+4o t
aUn-UU1N'I'KAUT0R AGREEMENT
have agreed to be
Sub -contractor for
(Primary Contractor)
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.
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CON I HRUTOR SIGNATJRE ` (mat ier)
PRI1�1T� N ME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_SAA [s�
The foregoing instrument was signed before me this day of
20.�, b,`L = 1.
who is personally known or has produced a
as identification.
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Signature of Notary Pubhc STAMP
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PMYO 18SION 000050399
• EXPIRES November 28; 2020
I
9evised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier).
A,/Vzo e�SO
PRINT NAME
COUNTY CERTIFICATION N R
State of Florida, County ofkV a P
The`` foregoing instrument was signed before me this �4 day of
F`� 20_& by Lt � l O ?uha O
who is personalty known _or has produced a 11 �L
as identification.
L'L STAMP
Signature of Notary public
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Print
It LA LUZ VEI,m3�c�
MY COMMISSION #t GG050399
• , EXPIRES November 28. 2020