HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# ISSUE DATE
FA
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT CgNNFb
St. tuCieCounty
have agreed to be
Sub -contractor for
(Primary Contractor)
(Project StreskAddress.or Property Tax ID #)
Z 3 4'k
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.
ONTRACPOR-SIGNATURE (Qu11fi&r)AW
PRINT NAME
IA
COUNTY CERTIFICATION' a /
State of Florida, County of
l�
The foregoing Instrument was signed before me thl day of
2S y-by
who is personally known _or has produce a "C _
as Identification.
STAMP
Igoe ure of to y ublic
A D C�Fv I m� J
Print Name o Nota public,
pUDREY B. NU W FFR174772
Revised I1/162016fpMMISSION
iq. • '' MEXPIRES•. March 6.2019
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g:' SoidedThN
P.
fSUR-C . CW1('91GNATURE-(Qaa11fe—
PRINT NAME
F
COUNTY CERTIFICATION "O ER
State of Florida, County of
The foregoing instrument was signed before /m"e'IIQSs� day of
J7.dyby
who is personally known _or has produced a t l
as identification. V
/ ,T/, 01 f/,,n--�"�STAMP
Sign ure o Notary P, Ilc
Print Nai eof rotary Pub c
`=4',f,�','.y'� AUDREY 6. HUMPHREY � i
,�; Y MY COMMISSION # FF 17417?
^,, EXPIRES: March 6, 2079
d;?PO BoMed Thry Notary Pu6iic Unde�wdters