HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
St. Lucie County Contractor Certification Number: _
State of Florida Certification Number (tf applicable): E
For the project located at
Sub -contractor for
S,
Street Address or
(Primary Contractor)
have agreed to be the
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
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(STATE OF FLORIDA, COUNTY OF I —
THE FOREGOING INSTRUMENT WAS SIGNS BEFORE ME THIS DAY OF ' U
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KNOWN
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PRODUCED AS IDENTIFICATION.
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