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HomeMy WebLinkAboutSub-Contractor AgreementL - PERMIT # ? q I )- © ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT f" (; C.have agreed to be WgmpanyxName/Individual Name) the P 6'n Sub -contractor for '6-6 1.rys (Type of Trace) (Prima ntractoh n For the project to ted at W 9 S O F r A P( �� r+ (Prof ect Street Address or Property Tax W #) It is understood that, if they 's any change of status regarding our participation with the above mentioned project,,the Building and Code egulation Division of St. Lucie County will be ad sed pursuant to the filing of a Change of Sub-contracto notice. CG r3►-MNWi IM 0.. !�Zv �' V . . ✓✓ PRINT NAME rPRINT NA I V14 COUNTY CERTIFICATION NUMBER, COUNTY CERTIFICATION :KFUER State of Florida, County of State of Florida, County of The foregoing instrument was signed before me this day The foregoing instrument was signed before me this day of 20A by who is personally known _or has produced a V o is personally known _or has produc Ary- as identification. as id ti on. i J STAMP STAMP Signature of otary 'c �. Signature o otary Pub is Print Name of Notary Pub c Print Name o ota P blic AUDREY B• HU4 hPHREY ' ` . COMMISSION ## GG 30081T • "� :� �. MY 6 2023 1 AUD EY B. HUMPHREY `= EXPIRES- public Und� rs°'°, MY COMMISSION #GG 300817 Revised 11/16/2016 ��oQ� gondedThNN°dry": Q_ EXPIRES: March 6, 2023 FpPF .: :aP'•�: Undertrritors BondedThrUNotaryPublic