HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
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(Corn)
the _L_lf
(Type
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
,.-
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
JAN 10 2019
ST. Lucie County, Permitting
have agreed to be
Sub -contractor for W,ei-r4-a
(Primary Contractor)
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Street Address or
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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.
PINTRACTOR SIGNATURE (Qualifier) CONTRACTQR SI NAiURZ (Quardie�)
7Psus S T%Th�o 7e° 14S S T1—trj40
PRINT NAME PRINT NAME
COUNTY CERTIFIC TION hNN IBER
State of Florida, County of IE
The foregoing instrument was signed before me this lb— day of
Aetyx 2e0by. fl XyL iNb
C who iss personally
known _or has produced a _
as id— F=
i
STAMP
Signature of Notary Public
Print Name of Not
KAREN S. NIELSEN
7�'
tate of Florida -Notary PublicCommission # GG 207484My Com mission Expires June 12, 2022
Revised 11/162016
&K /aU; /Oln -
CO E TIFICA ION NUMBER
State of Florida, County of to, E
The foregoing instrument was signed before me th4w— day of
'.�t4 20W by .1Pses' REV I IJd
who is personally known _or has produced a FL Di.,
as identification
Y _14 AMP
Signature of Notary Public
P ' 'c
QAKAREN S. NIELSEN
State of Florida -Notary Public
5 Commission # GG 207484
T
xof,,,`,.� My Commission Expires
June 12, 2022