HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
' (Compa4 Name/Individual Name)
the
(Type of Trade)
For the project located at rh Ol
(Project
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
or Property Tax ID #)
SCANNED
BY
St. Lucie Countv
have agreed to be
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.
CO TRACTORSG A Qualifier) SUB -CONTRACTOR SIGNATURE(Qualifler)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this L day of
20 by
who is personally known _or has produced a T L VJW
iZ
on.
STAMP
ru lure of Notary Public
Print Name of Notary Iic
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
, 20_, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
(AsKMMINGRAM-RAHMING
My COMMISSION # GG 276060
EXPIRES- DecembeM, 2022
_•:
BoadWThnl Notary PeWUWal"b"
Revised 11/16/2016
Name of Notary Public