HomeMy WebLinkAboutSub agreement, hvacPERMIT #
o06 - os/i
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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(Company Name/Individual Dame) T
the / d'
(Type of Trade)
For the project located at q''��
Sub -contractor for
A (Primary Contractor)
(Project Street Address or Property Tax ID #)
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.
CONi7 TOR SIGNATURE (Qualifier)
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YNCINT NAME
— � & C" TOC VIA L ! iBER
State of Florida, County of ?
The
egoing instrument was sibaed before me this
f /be/hi �/day of
! 2U �/by Ala,) L_L'i��( a{ eG
who is personally known k' or has produced a
as identisiti m J
Signature oYNota PPuyb�lie STAMP
Print Name of Notary Public
[SHER�1 Y RI KEILEY
Commission # FF 999218Fa Expires October4, 2020
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Revised 11/16/2016
SUtd-CONY TOR SIGNATURE (Qualifier)
I'RFiVT oTAiVIE
C011NTY CERTIFICATION NUMBER
State of Florida, County J 7
The foregoing instrument was signed before me this day of
V > 24�qb
y i
who is personally known -k—or has produeed a
as identifi fion.
Signs a of 1Yatary Public STANIP
Print Name of z`iotary Public
is'Y Pia% SHARON MILLER
State of Florida -Notary Public
.r Commission # GG 202177
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-,,a' �+�PA•` MY Commission Expires
April01, 2022