HomeMy WebLinkAboutSub contractor agreement, electricalOUNTY
F L 0 R I D A
A
Aff-Al ; T
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company NamcfIndividual Name)
the Sub -contractor for
(Type of Trade)
For the project located at15127s, 50lic-Awitt
(Project Street Address or Property Tax 11
(Primary Contractor)
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have agreed to be
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.
CO,NTRACTOR SIG'VATUP.F,{Quell n,—r)
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PRINT NAME
'2_ 3 I'T) 0 9
C<)VPWI'V CERTIFICATI NIiMDER
State of Florida, County of
The foregoing instrument was signedibi me this L, day of
20-& `
who is Personally known .70r has produced
�"Ieation.
�e of Notary P STAMP
rn en F -ON (e
Print Name of Notary Public
C11hAW iAll
NarARYPUBM
911ATEOF FLORIDA
Revised 11/1612016 Will WMAM
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SC RSI .NAI #0 ry
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PRINT NAME
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COWN 1-Y UtKTIFICATIONN NUiW1W_;K_
State of Florida, County of_ 00A I R
The foregoing instrument ryas Signed before ole this 1/f - day of
20LO, ky - Cr� C_ e-, Ott f
I h. s P, Jlv known. --.-or has produced a._ACLf_?_J_ ill e)ise-,
s-rAmp
Signature of X �ft� �141biW
Print Name of Notary public
C4*ndm LaFaw
NOTARY PUBLIC
STATE OF FLORIDA
CW#V* 00005992
Expires 6/27/2020
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