HomeMy WebLinkAboutSubcontractor Agreement 02/0112018 16:46 VERO GLASS & MIRROR
(FAX)7725621474 P.001
PERMIT ft ISSUE DATEE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILWNG PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
/Comaany Name/Individual Name) /
the. � Sub contractor for -�! �`yZ� '7.l r� ��� rt
�.. M ref
(Type of Trade (Primary Contractor)
For the proj ect located at
. Ell n(Project Street A dress or r erty Tax ID )
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, alae Building and Codc Regulation Division of 5t.Lucie County will be advised pursuant to the
iifin.g of a Change of Sub-oontractor notice.
CONTRACTOR 8IMNATURE(QanilQar) 5UB766N'rl2ACP0R SiGNATUn(Qu,1110or)
PRINT NAME PRINT NAMM
1 � \ 1 ), _GLLIS1 1,f�41
COUNTY CERTIFICATIONBl, COUNTY CKA ft'[ ATION NqMI39R ff G
Stolz of t[loridn,County of Statc or Florida,Cnuary uf':S4 iE
The torgaoinq Instnimant wnx elpodd bafbre hto thU day of Tbc hmpin&instrument wm s1prd efwv me th day of
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20.L.J.by i \f1 nen f t —:.��'-:��:�� ao byiiin
— who is paroaaally l000wn YJtit bas¢roattcad n — who 19 pernrmalty known�or has produced a DL,
tiflentlnn swidentification. ----
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STAMP STAMR
si fto ntery Public 'are of Notary Pnhiie
riot rtm0 Itr otnry nb c Print Name of Notary Public
.s..�rr.�.s
rBKYt.A RUSH �, KAREN S. NIELSEN
'Rf 04 i
'a MY COMMISSION#FF24665 ' sf, Commission # FF 115637
EXPIRES July 05.2019 ,a My Commission Expi es
Revises t1/iG120i6 lnc>>iQeo:al Flo.dnHou &, can °' ;; "•'` June 12, 2018