HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT # T
ISSUE DATE
� E PLANNING & DEVELOPMENT SERVICES SCANNED
Building & Code Compliance Division BY
• St. Lucie County
" BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Com any Named duals am
the 4-a— i Sub -contractor for
(Type of Trade) 2 Q (Primary Contractor)
For the project located at
(Pr 5FSlr pf A [dfess r 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.
W-A-
COUNTY CERTIFICATION ,
State of Florida, County o k'UA. '
The (foregoing instrument was signed before me thi4 day of
}}M, 20)gby i i%?Gl. i7
who is personally known _or has producedZAA ` C
as identification. �
4LU"Ot' /N S' AMP
Signature of Notary TJ
blic
QA'T)F f B . hum" hao
Print Name of N taryblic
•,;m,, AUDREYB.HUMPNREY
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RevisedI1/16/2016 e`O'e EXPIRES: Match6.2023
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COUNTY CERTIFICATION NUMBER
State of Florida, County o
The foregoing instrume)nttt, was signed before me this' day of
7 •/ 20�, by �`
who is is perso ally known _or has produced a I
as identification.
"-�STA_MP
Signature of NotaryP blic
Print Name of Not ryPubhc
tg'....Z AUDREYB.HUMPHREY
300S
MYCOMMISSION#GGt7
EXPIRES: Match6,2023
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