HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNE®
SUB -CONTRACTOR AGREEMENT S't, , a CDUnty
t1 �lr�izG�S Go wL L GEC T.v� have agreed to be
(Company Name/Individual Name)
the G= G C _ Z e-_ Sub -contractor for S'[_ m to Pr l i ll S (rza-f 111Q
(Type of Trade) (Primary Contractor)
For the project located at
0
or Property Tax ID #)
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.
a4a►-1
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this � day of
291qby
who is personally known, V r has produced a
as identification.
STAMP
Signature o otary Public
tnc�i P- l� f ee—
Print Northf Notary Public
GINGER P HEST
ER
�•
•' MY COMMISSION # FF912939
"¢ •� EXPIRES August 25, 2019J
Revised 11/16/2016 (1e]43ea-0'53.
—SUB-CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
20 9 yj •
COUNTY CERTIFICATION NUMBER
State of Florida, County of Isi t ))A
The foregoing' strument was signed before me this W_ day of
V 20_qby �%1Q� _ 5 W e
who is personally known �4r has produced a
STAMP
EUGENEDUIEGER
0ommisslon#GG1445S1
ExphesJanuary20,2022
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