HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe
PERMIT# ISSUE DATE
of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
Street Address or Property Tax ID
(Primary Contractor)
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.
all
COR SIGNATURE (Qualiaer)
!!S '1 dz=�n
PRINT NAME
COUNTY CERTIFICATION NUMBER e
State of Florida, County o/1 �..
Thhp.Foregoin�g instrument was signed before 6 day of
(F�i/bw.Y . 20L, b���han�en e
who is Personally known _or has produced
as identification
Print Nameo otary Public
B- ONTRACFOOR SIGNATURE (Qualifi r)
PRINT NAME'
COUNTY CERTIFICATION NUM
State of Florida, County of
The foregoing instrument was signed before me this
T of
OrI�CN�2I7e
/day
who is personally known _or has produced a
as identification.
��� �
Print Name of No ryPublto
AWREYB.HUMPHREY
I 'iy"•••, 174772
AUDREYB. HUWHREY V: .: MY COMMISSIONtl FF20ig
A•. :g EXPIRES: March 6, 2019
Revised 11/162016f1',� MY CIkNIASSIIXJi FF174772 i?,;^ BaneMThnf Way PuhfnUndewriters
A'3 EXPIRES: March 6, 2019
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