HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
b�ec9.Q�s
[ZECFiVED
have agreed to be
(Company Name/Individual Name)
the _ m- C\s � e C)'\ Sub -contractor for \-�0 �j
�I (Type of Trade) r n (Primary Contractor)
ale
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For the project located at
(Project Street Address or Property Tax ID #)f%
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.
CCQ, \ 1QS
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I
State of Florida, County of C16
The fo egoing instrument was signed fore me this y f
20aby
who is personally known or has produced a irL
as
Print Name of N
Revised 11/16/2016
KAREN S. NIELSEN
State of Florida -Notary Public
Commission # GG 207484
My Commission Expires
June 12, 2022
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SUB CONTRALTO SI NATURE (Qualifier)
PRINT NAME
C Y CERTjXTIO BER
State of Florida, County of �t
The foregoi g instrument was signed fore me this Md
f
200
who is personally known or has produced a
as identification.
STAMP
Signature of o ry Public
Print Name of Notary Public
"""W" K A R E N S. NIELSEN
State of Florida -Notary Public
=' '= Commission #
ate: GG 267484
��i�``•OfF�°p� MY Commission Expires
""""� June 12, 2022