HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE,DATE
�$ PLANNING.&DEVEL.OPMENT.SERVICE'S' RECEIVED�
Building & Code Compliance Division
BUILDING PERMIT NOV 0 5 2019
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SUB-CONTRACTOR AGRI•IMENT
ST. Lucie County,Permitting
Re) ? �� ��
�- .. - ' �- '. :' have agreedto be
Comliany,Name/IndivitliiaLName) . �^
fire :`� c cr { ° ' Sufi-cont!aetot'fol 1 cep,` �„ 4 ,� � � rY
_—
(Type of Trade) 4 (Primary:Contractor)
For'the project located at I Lk 2__' -2-- C> ,-3
(Project Street Address or Property Tax ID W).
It is understood-that, if thele is'anychnge'of status regarding our participation'with:the above liientioned
project, the BLIildifig and Code Aegulation-Division of St. Lucie County will be-a'dvised:pursuantto the
filing,of a Change of'Sub=contractor notice.
CONIR 'TOR SIGNATURE(Qualifier) SUIT' 1 A 12 SIC A'I'URr
/ (Qualifier)'
' PRINT NAME � Ams
PR1N'1 NAME,
} COUNTY CERI'IFICATION UMBER COUNTY 1 CERTIFICATION NUMBER
State State of Florida,County:of�I State of Florida,County of L_V CA e
Tile ffilregoing instrument was signed bcfot-e,file
��this It—day of '1'hc fo going instrument ryas sif;ned•befm�c file this 'day of
v zo by ����['� J IA.LIrL�'I ,zo ,.sy 90�2v--{- .�Gt'i�(>u=IL.
who is personally known_or.has produce(!a. 1' _ wird is Jima is ily'known of lins,produced a
i'
as ideiititication. aslenlificalion.
MP STAMP
Si "at of Nohi� n� Si n t(u•c otary Public
KAREN S. NIELSEN
te=a ��.State of Florida-Notary Public
# GG'207484
Print Name of Notary Pu ic,�grf oo My Commission Expires Print Name of.Notary Public
June 12, 2022 y
ppY IY�
PNd'� YAVE V�7AVELi
MY COMMISSION#FF991926Revised I['/16/20'16A.'r.
W . `; EXPII�t^S Mey 12 2020
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