HomeMy WebLinkAboutSub agreementPERMIT# ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT
` SUB -CONTRACTOR AGREEMENT
Q c --t ( ; C LL have agreed to be
(Company Name/InEdiQnal Name)
the C E c C; c; c, r1 —Bub -contractor fork r�L�� b S S f t uc G --�
(Type of Trade) (Primary Contractor)
For the project located at Q� c) Q c e-,- e^ c- h
(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.
COCTOR SIGN (Quali&
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PRINT NAME
19aH-5
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 t L tK C ��Q n
The foregoing instrument was signed before me this i " day of
dQP_r-be 20Q by
who is personalty known X_ar has produced a
as identification.
Signature of Notaq Public I
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Print Rame of Notary Ii iblic
Revised 11/16/2016
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5 -C CTOR IGNA (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of J i- L u c f Q—
The foregoing instrument was signed before me this i I U day of
\' '1)' 6 20 by Robert- L y r, C
who is personally known 1-011 has produced a
as identification.
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V7Signature
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of No Puhric
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Print Name of No Public /
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