HomeMy WebLinkAboutSub agreement RECEP.":D FA 44_ 7017
PERMIT# ISSUE DATE
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o a fn, - PLANNING & DEVELOPMENT SERVICES
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Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
't �S t✓/�°G�/7( ��°/�i l�(J have agreed to be
(Company Name/Individual Name) 4"--, l
the Sub-contractor for (�dOWI 1 aC9/,J'
(Type of Trade) (Primary Contractor)
For the project located at Z�� U i�oG�sr✓!,'f h , %f. el-ce . TL
(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.
CONT OR S,I,G/NATURE(Qualifier) SUB-CONT R SI NATURE(Qualifier)
PRINT NAME PRINT NAME
GPGj ysTlq f- o&3 C�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of IDIMM J State of Florida,County of �'
The foregoing instrument was signed before me this t�day of The foregoing instrument was signed before me thine" 'day of
Fab ,20q by �'>� �Dt�t1 it - Ek& ,20_(T by 1M MC IkJTV(2-
who is personally known or has produced who is personally known or has produced a
as i entification. 4asiAIenti
STAMP STAMP
Sig tur of Notary P li ` Signat
�� "T LA �1�0• j.••NpTgAy.�C''G'•� 't" (�( ACVVW �`� AET M
Print Name of Notary Public Q-! p Z Print Name of Notary Public Q� oTg9
sS MY COMM.N Etplres: 0= � �• �'•SL
S 26 2019 — _M Wr
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FF•�,'9�.•�u6��••.• �O . �N�� 4414
Revised 11/16l2016 ,,,F0F, ;O ```� �i,9��•A.VBLI ..•��Q�`�
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