HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division bulAIMNED
COUNTY SCANN&pr (3y
r L 0 R I D A BUILDING PERMIT BY -111,10 County
SUB -CONTRACTOR AGREEMENT St. Lucie Countv
St. Lucie County Contractor Certification Number. i qqc6
State of Florida Certification Number (If appricable): <!�)cn o,;;L C-) :�4
have agreed to be the
_CCompanyName/Individual Name)
Sub -contractor for
(Type,of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project� I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone: email: agg/i� 614Af
40 a/11cees'r. ltle'le-
PRINT NAME DATEf
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _,Z1, DAY OF
BY 4�L (9459A/:;L WHO IS PERSONALLY KNOWN OR HAS
AS IDENTIFICATION.
�OF NO Y PUBLIC PFUNT NAME OF NOTARY PUBLIC
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