HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT'PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code. Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
C I have agreed to be
(Company Name/Individual Name)
the &� 7 a «n Sub -contractor for 7SL
(Type of Trade) (Primary Contractor)
For the project located at ro t? 3 Z 5
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a anger
nge Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
State of Florida, County of L r
'1Yri
The foregoing instrument was signed before me this 24 day of
eo�' 20LI, by 'A��
who is personally known ✓or has produced a
as identification.
✓-v STAMP
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
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COUNTY CERTIFICATION NUMBER
State of Florida, County of [/GC 14
The foregoing instrument was signed before me this (—udayof
V &Y ,2041, byc"kA- UW4, U),>A"/
who is is personally known _or has produced aL. l`�r ;rus• LirLr^='e
as identification.
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Signature of Notary Public MYCOMMISSION#GG039179
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/ ' EXPIRES: March 24, 2018
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EXPIRES: March 24201
rint Name of Notary Public