HomeMy WebLinkAboutSub Contractor form NotarizedPERMIT #
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Revised 11/1612V16
ISSUE DATE
PLANNING & DEVIMOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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have agreed to be
Sub -contractor for
{.Primary contractor) � •"�
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trro,Iect Ntreet Address or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
of _Sub -,contractor notice.
f' t -Cts VTtiAC R G" RE ((?ualitisr}
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rag signed babre me ibis . \C1_11 day of
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CnUNT CERTIFICATION V1L►I6ER
State of Florida. County of � L 0
The foregoing instrument %as signed before me this day of
whO is personally known i� ar hos produced a
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STAMP
Signre of \ota ubr
.F'n'rA''f. CINDY WEBS
Notary Public -State at Florida
*v Commission # GG 312394
f+ a My Commission Expires
May 23, 2023
Prttttitiamt uitivta Public � .
ST'tNlP
wtir""k"� � CINDY W'E B B
° .Notary Public -State at Floris
•- Commission # GG 312391
L c` My Commission Expires
++�"�• May 23, 2023