HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
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SCANNED
BY
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pao /s
(C m ny Name/Individual Name)
the _ '� / /"ti c Sub -contractor for
(Type of Trade)
For the project located at
..�have•agreed to be
ZDG/a�t� Ud�S
(Primary Contractor) 19
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.
/�) Z_�
CONTRA TOR SIGNATURE (Qualifier)
PRINT NAME
06 y /
COUNTY CERTIFICATION NUMBER
State of Florida, County of c + 1 I
The foregoing instrument was si [d before me this � day of
20Lo by r\b e ,S 6all�,�
who is personally known —La has produced a
a
s�ti cation.
STAMP
of Notary P
Print Name of Notary Public
SH 21-7i ri I aL�,:FJ
* IUCOM^11SSITIIFF1GG3iJ
Jet e EXPIRES: ?,larch 11, 2013
T�TFOF F���\ Bonded Thru Budget Notary Services
Revised 11/16/2016
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SUB -CONTRACTOR SIGNA (Qualifier)
PRINT NAME 1
15—co q1
COUNTY CERTIFICATION NUMBER
State of Florida, County, of��
The foregoing instrument was signed before me this f
-iis p�" /dray, of %
b L_ C 201J� by
who is personally known or has produced a
as ide o .
STAMP
aturc of Notary P 1i
Print Name of Notary Public
SHE 1IFL-I;L?,1,iJJ
MY COM411SS0 ,9 FF 1603T0
8EXPIRES:',lsrch it, 2013
�rsrFor• F e Bonded Thru Budget Notary Services