HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I `'1 U F—(`�( Jrj, 2 I ISSUE DATE
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COUNT�
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
kuo pan Name/Individual Name)
theGt�
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
100,019
®(��itreed to be
Sub -contractor for Gt.q %Q m e f cL-L era • 1 G f ,5 tUG
(Primary Contractor)
For the project located at Lp G 6 7 ,5 o < e 1, �
(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.
CTOR SIGNATURE (Qunlifierl)
L.e5fCr W• f-Lei
PRINT7VAME
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COUNTY CERTIFICATION NUMBER pp
State of Florida, County of �L
The foregoing instrument was signed before me this of
1L rL � 200� by r S Pi
who is personally known _or has produced a
as identification,
STAMP
� gnature of Notary Public
ERIN BROWN
Commission # GG 232840
'a Expires June 27, 2022
Bonded Thtu Ttoy Fain Insurance 800385.7019
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Revised 11116/2016
PRINT NAME
9a-5-1
COUNTY CERTIFICATIONNUMBER
p
State of Florida, County of J_ � e,
The foregoriingg�innstrument was signed beforemethis �da of
who is personally known _or has produced a
as identification.
Signature of Notary Public STAMP
Print Name of Notary Public
�se�4's�o; ERIN BROWN
' Po Commission # GG 232W
Expires June 27 2022
Bolded Thru Troy Fein Imiarm 800,385-7019