HomeMy WebLinkAboutSubcontractor Agreement 1711
LERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
" Building& Code Compliance Division
.„»,x.:,a,.;_v..._:u._.• BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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t- �� have aereed to be
(Com, 'y Namelindividuai Name)
the /cL:r G,r4-� Sub-contractor for 1-21a
(Type of Trade) -7 (Primary Contractor)
For the project located at
(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.
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Co CTORSIGNATURE(Qualifier) S OO:15�50RSIG�7
(rQualifier) -
tO
AME PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
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State of Florida,County of�-a&& sr State of Florida,County of S:.wC W_
The foregoing lestrameart'was stud before me this /..d}ay of The(orcrWag inatrummt was before we this 2 r f dor of
- � 2°t-�by 2k+ ,br_-)4"S 041u+as
who Is personally known or has produced a who Is personally own has produced a
as aentitication. 1�l� aside flat w .
STAMP STAMP
Signature of No ry Pubbllic� � W&R)Q)
K..- �4AtL 1i- L�S�*+ �iC•
Print Name of Nott Public Print Name of Notary Public
=WGARA.ESPJN0SAAGFORp , NotfloridaRevised 11/16/201 �) COU7_ G(i20 M4.2021
2020
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'��7 EXFtRES:O°
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