HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
US ?Cum61 u q
(Company Name/Individual Name)
puro(fig Sub -contractor for
(Type of Trade)
(Primary Contractor)
the pro eet located at o) bo2 Even
(Project Street Address or Property Tax ID #)
(J:
have agreed to be
understood that, if there is any change of status regarding our participation with the above mentioned
ect, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
.g of a Change of Sub -contractor notice.
CONTRACT(
L'IGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
Statl II of Florida, County of
The foregoing
regoing instrument was signed before me this
20_� by
who Ii. personally known _or has produced a
as iu�nuucauon.
Sign ture of Notary Public
l
Print Name of Notary Public
'I
�I
Revis ii 11/16/2016
day of
SU - RACTOR SIGNAT (Qualifier)
Rev sunv
PRINT NAME
CPC 14Z6853
COUNTY CERTIFICATION NUMBER
State of Florida, County of S-T. Lucl{
The foregoing instrument was signed before me this Za day of
0C-1- , 20JI, by
who is personally known l_ or has produced a
asFcanon.
P
EDWARDSTAMP - = MY COMMISMN #FF124587
Signature of Notary Public o!,•'. EXPIRES May 19, 2018
(4Q7) 398-0153
Print Name of Notary