HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
:.. :.,.. PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(C m ny Name/Individual Name)
the /1.72,6 AAJGj Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be
�DUalel-q
(Primary Contractor),e
(Project Sfreel 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.
CONTRACTO S A URE (Qualifier)
PRINT NAME
eq� 9'
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was sign bef re me this day of
,2t�b•
who is personally know or has produced a
as i n fi ation.\
STAMP
Print Name of Notary Public
o�PR ;Pue�c SHERRI FEHLMAN
Commission # GG 187160
* * Expires March 14, 2022
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Revised 1-1/16/2016
S B-CONT CTO SI AT (Qualifier)
kgs 6 2i . 'c cd /ice
PRINT NAME
COUNTY CERTIFICATION NU BER
State of Florida, County
Th foregoing instrument was sig b
ee me this dray of
20K/, by
who is personally kn wn�or has produced a
a ident' ation.
STAMP
gnature o ota ubii
Print Name of Notary Public
otsgYPue�,
SHERRi FEHLMAN
# *
Commission # GG 187160
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Expires March 14, 2022
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Bonded Ttw Ekdgel Notary Services
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PERMIT O ISSILM OATS
PLANNin & nEvELOPMENT SERVICES `
Building & Code Compliance Divislon
•
RUILIDING PERMIT
%U&c0N11MCT0R AGREEMENT
i
have agreed to be
(Co a y Name/Individual Nium) �� y! 6 "
,he .r� Sub -contractor for
�.�_-a .. Tkimary Coatm-w*
For the project located at
It is understood that, if there is any chalage of statua regarding our participation with the above mentioned
project, the Building and Code ReMxWou Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contr7rne. ter
ly
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Commission # GG 187160
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Expires March 14, 2022
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SHERRI FEHLMAN
Commission # GG 187160
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