HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT## I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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COY, -
� 01Ludie Gli
lI ;Gl (C( ICQ CS Gig L(n-eM ILD have agreed to be
the �(Company Na erdloi "' -e
i C -2 VC:ub-contractor for
("o Tra(Primary Contractor)
For the roject located at �2, � �`1 r-11��►� fAVtP QnW
(Project S eet-AdSlreorRPrope Tax ID #)
It is ui�°iierstood 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 I,f a Change of Sub -contractor notice.
__ Qyf —Cl °Lli
111
State of Florida, County
v_
instrument was signed before me this )—?— day of
20]ffby
wJ% is MI sonally known _or has produced a
as identl cation.
'I lac S - 17 "Ire N_ 010
�`a
Signatu a of Notary Public
I
I
Print NaI''me of Nota _ ublic IV
B.HUMPHREY
,,,, AUDREY 174T12
�ri MY MMISS � FF 19
_'� r ��'*� EXpIRES�M P bw �rwrders
Revised 1/16/2016 7'�%yi' ds So id ry
i
SUB- C SI, , ( ualifier)
tcs- C�
COUNTY CERTIFICATION NUMBER
State of Florida, County of
�
he o going instrument was signed before me this/ (0 day of
20& by
w o is pe ally known _or has produced a
as identification.
rm� Qv or
Signatu f Notary Public
i
Print Name of Nota ublic 41V I
<Y'r
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
•, :9,
EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters