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HomeMy WebLinkAboutSubcontractor Agreement I PERMIT# ("}'(� / 1 ISSUE DATE PLANNING & DEVELOPMENT SERVICES E Building & Code Compliance Division OUNTY BUILDING PERMIT SUB-CONTRACTOR AGREEMENT I Shave agreed to be 1 (Comp_any Namet dividual Name) the �P X-�t:C% ' l �✓ Sub-contractor formwf uz X"' t� (Type of Trade) (Primary Contractor For the project located atlSl© {traject Street Addressor Property Tax #) 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 SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier) tr?Iille C. S, t INC C Slrnit+rl PRINT NAME PRINT NAME ' I COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of State of Florida,County of—,Y— The f .,Y—The foregoing instrument was signed before we this ay of yThe foregoing instrument was signed before me this & day of ZU, by l�L, 1 f Ci:ILIA k )Wby -W ( ,rA- `i( who is pe onally known_ _or has produced a �(/! - j who is personally known or has produced a . )t . as identification. as identification. STAMP TAMP Signature of otary u lie V Si ature of NotaP bhc Print Name of Nota Public Print Name of Notary The UREY B.HUMPHREY ` �• ION#00300817rP�., AUDREY B.HUMPHREY MY COMMISS ;ao. 2023 " * `� �(pII2ES;March 6, MY COMMISSION#GG 300817 Nary pubticUndetv+ritets �" EXPIRE$;March 6,2023 rEgF .,• Bonded Cha koFFyoP BWedthruNotary Public Underwilers