HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
rQ, of Sy-, have agreed to be
C pany Name/Indkvidual Name)
the Sub-contractor for
Type of Trade) (Primary Contractor)
For the project located at 1y ��`�`^��� c7
(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 Change of Sub-contractor notice.
CONTRACTOR SIGNATURIE(`Qualifier)) SUB-CONTRACTOR SIGNATURE
(Qualifier)
c'SC:� C_
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMB COUNTY CERTIFICATION NUMBER
State of Florida,County 0 sCA State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was sign before me this day of
20 by g� Q 201 by &
wh is personally known or has produced a wh<personally kno _or has produced a
as identification. as identification. 1
1 n STAMP 1 STAMP
Si nature of Not Public Sig ature of No Pu lic
11 'A.C'Z-- E�
` Print Na
ri * o`�ary Public-State of Florida �" y p"•.,
k ANGELA M HUFF
+•_ Commission# FF 234730 Notary Public-State of Florida
%jrF oP�.• My Comm.Expires May 27,201 S
Commission#FF 234730
Bonded through National Notary Assn.
FF My Comm.Expires May 27,2018
Bonded through National Notary Assn,
Revised 11/16/2016
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