HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
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Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(if applicable):
Mc\-`(, '1,- V�`C � have agreed to be the
�``(Company Name/Individual Name)
\ \ C_ Sub-contractor for S
(Type of Trade) (Primary Contractor)
For the project located at �� ��� E��®�P
(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:
,
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �4DAY OF
BY \ �_ � WHO IS PERSONALLY KNOWN OR HAS
PRODUCED - 1J AS IDENTIFICATION.
Tl i 1 AMP)
SIGNATURE NOTARY PUBLIC P ,•.�•'rP'�•, 1 i
SLCPDS: 08/06/2014 Notary Public-State of Florida
Commission#t FF 234730
`�o;� My Comm.Expires May 27,;"'2019
''�,r„u��` Bonded thra��gh National Notary Assn: ,