HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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(Company Name/In iv duaUName)0+4
the Sub -contractor for
(Type of ade)
For the project located at0
(Primary Contractor)
Tax. ID #)
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70 00%
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
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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.
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`CONTRA'CTOR SIGNATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION
State of Florida, County of �' 1�
The foregoing instrument was signed before me this day of
who is personally known or has produce C
as identification.
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TAMP
Sign Ir of otary P b c
Prin�.mef ublic
AUDREYB.HUMPHREY
MY COMMISSION # FF 174772
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EXPIRES: March 6, 2019
Revised 11/16/2016
�Pf •�,,• Bonded Thru Notary Public Undenvr'ders
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SU - ONTR'WTORSIGNATURE'((Yu'alifi' r)
PRINT NAME
COY NTY CERTIFICATION NUMBER
State of Florida, County of /
The foregoing instrument was signed before me this day of
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who is personally known _or has produced(
as identification. f
�J 1 MP
Signature of ota ublic
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Print Name of Notary Pub l' '
AUDREYB. HUMPHREY
_*. MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
' g 1y,,• Bonded Thru Notary public Wdemriters