HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT FEB 2 ¢ ?�^�
ST LGciCounty, Permitting
For the project located at 107 QUEENS RD FT PIERCE
(Project Street Address or Property 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.
CONTRACTOR SIGNATURE(Qunliner) SUPO rfRA OR SIGNATUPE(Qualifier)
ROBERT WILLIAMS�'112
PRINT NAME PRINT NAME
29115
COUNTY CERTIFICATION NUMBER
Slnteof Florida, County of ST LUQ E 1j��1fi
Thferegoing hnstrament sus signed breeffore me this J_day of
Tef:F, aug�bby 9- 29fi- Ia ri �
wbois personally known V nr Ism prnduceda
as fdcotiBcntlon. nppkSigPub
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Print Nome of Namry Public
1'nAW", , DAWN FITZGERALD
j4;; MYCOMMISSION # GG 162348
�. a EXPIRES: December 17, 2021
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COUNTY CERTIFICATION NUMBER
Scale of Florida, County of L71I--
The foregoing instrument was signed before me this X day of
who is personally known _ker inns produced a
as Identification.
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STAMP �n' s c^ �✓ STAMP
IA'i�gnnturc of Namry Puhac
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Prins Nam orratary Public
y?„fir?••••,, DAWN FITZGERALD
;. MYCOMMISSION#GG162348
Z•P EXPIRES: December i7, 2021
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