HomeMy WebLinkAbout Subcontractor Agreement [PERMrr* ISSUE DATE
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BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
(J c/1 Ru.A L t^C have agreed.to be
�JR Namellrtdi' Name) ^UJ_ \ C0^✓�
the: u.., ., r Sub-contractor JJ for W a11�
MTe of Trade) (Primuy Comlactor).
For the project located at I Tee,l Ter/'ae-e—
(Project Street Address or Property Tax B)k)
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(QuasOer) SUB-CO GTORSIGNAT{URE(Qualiser)
&_C••e., e- V J,e S.1"O'UA
PRINTNAME - PRINTNAME/
GFe Ito 80S-7
COUNTY CERTIFICATION NIMMER COUNTY CERTIFICATION NUMB R
State of lorlda,Courdy of State of Florida,Ca"of &J_
TbetotevigYmramrt wasstfyted before tre thb_dq of The foregaig 4utruumd was domed Wore me mh2D-&yor
who Is personally brown L t JS J v
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SrM1P SI'ARIp. KATNLEENWINN --
Sigou"OrNo"Pubac S1 tetra of Notary Puhae ZO��••
Cortunia 911 GG 161056
PaW Name orNotary Pudk Name of N,orsryPaNk �' \a� Expires November 17,2021
OF Baldrd ThN Budpet Natuy EatvioM
Revised 11/162D16
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