HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & .DE<VELOPMENT SERVICES
Building`&: Code 'Compliance Division
BUILDING'PERMIT
SUB=CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) - -
the 2V3L�C_\C K r\ Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Stre�e# `Add>ressr operty Tax ID #)
It is understood that, if there is any change of sidtus,regarding our participation with the above mentioned
,, •3•,
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..,
CONTRA . ORSIGNATURE(Qualifier)
PRINT NAME r, .
COUNTY CERTIFICATION NNU�,MBER�n1
State of Florida, County of �aN M I ac—�
The foregoing instrument was signed before me this Lo day,,of, l5
20VI, by
who is personally known or has produced a
- _-STAMP
Sign ture of Notary Pu T
ic
Print Name of Notary Public
RACHELGROSS '
aq _ MY COMMISSION # FF 999495
EXPIRES: October5,2020
Bonded Thru Notary Public Underwriters
Revised 11/16/701
SUB-CONTRA6T,0R SIGNATURE (Qualifier)
PRINT- NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofj\ Il `(I p�,
The foregoing instrument was sign d,before me thi o,_2 day of
�jQ
who is personally known or has produced a
enh ►cation.
1 1/0 0 JA_0_J
STAMP
Signa re of Notary Public
Print Name of Notary Public
RACHEL GROSS
MY COMMISSION # FF 999496
EXPIRES: October 5, 2020
Bonded ThrarNotary Public Underwiters