HomeMy WebLinkAboutSub contractor agreement-VOIDPERMIT # I ISSUE DATE I .3
COUNTY M
F L O R 1 0 A
V,
(Company
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
livi ua
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
theSub-contractor fore xL�r��t-c�.�c,
(Type of Trade) (Primary Contractor)
For the project located at / C: QL C r 7� �w, . q , o,
(Project Street Address or Property Tax ID #) 1IL
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.
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CONTRACTOR SIGNATURE (Qnatifier)
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PRINT NAM
COUNTY CERTIFICATION NUMBER -
State of Florida, County of L
Th
e foregooingiinstrumentwas s�ig�befor m y of
20 y����,
who is personally know or has produced a
STAMP
EILEEN McGRORY
MY CONU IISSION # G6359242
Revised 11/16/2016 *111_�_ EXPIRES. July 25, 2023
COUNTY CERTIFICXTi0N NUMBER
State of Florida, County of
The foregoing instrument was signed beforemeth' day of
20'Wby (<
who is personally known�/_-r has produced a i
as identification.
STAMP
e of 'o ary u r
PrihtlName of Notary pubrIc
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NICHOLE $ACCARI
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NotaryPublic -State at FloridawyPublk-T35185'4st`#�
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