HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING._& DEVELOPMENT SERVICES
Building& Code Compliance Division
` BUILDING PERMIT
SUB-CONT-PA CTOR AGREEMENT
L`p so have agreed to be
(Company-N in dividual Name)
the AY'i C Sub-contractor for ''old iwy '_ L-Le—
(Type of Trade) 016a7ary Contractor)
For the project located at tz r►.� "fir-1't V-J'6-al 01^
(Project Street Address or Property Tax ID 1
It is tulderstood that,if there is any change of status regArdi ng our participation with,the above mentioned
project,the Building and Code Regulatico Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CO�CTORSIGXATUIt18{QuaUtler) q;�FACT OU=fQualiiicr)
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PRINT SAW PRINT NAME
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CoUNW CERT5,77 RUN NUMBER COUNTY CERTIFICATION NUMBER
Same of Flarltht,County of ryA'nl Staab of Florida,County of VL
The foregoing lnetrument was sighed before ine this S_day of The foregoing instrument was sighed before me this JAL-day of
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who is personally lmown-✓ or has produced a who is personally]mown%.!'—"or has produced a
asAn�:Idetttiflcatlon. ss idcntific�tion:
STAMP /•/ STAMP
Sign of Notary i'ulrlieVWture ofWQtaryPublic
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Notary public-State of Florida
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My Comm-EXpire5 Mar 20r 20Z3
bonded through National Notary Asin-
RcW;cd 11/1612016