HomeMy WebLinkAboutSubcontractor agreement PERMIT# _ ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AimeL L Qxyled i u Ma I W IIA' have agreed to be
(Company Name/Individual Name)
the P)rc,ln Ji h " Sub-contractor for
Type of Trade) ,/ (Primary Contractor)
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For the project located at PK -Wid Wdf 6�4 p(` d,r-r- 3gCIc�,/
(Project Street Address or Property Tax ID#) -�
V�, 130I-60q- 03�f�-lam
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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
A'rnee L I1vCh,?d;cu W IV E k►fee, (,(L tkedt):a4 faa Iv)r
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of LL(L ' State of Florida,County of GfC
The foregoing instrument was signed before in this�C�day of The foregoing instrument was siggned before me this 2/day of,
fj 1 h ►!zoo,byM�r'L �2chr- ��a/'/�I/vi vn. Gr,zoo nyl�%✓y►r L. !1/Jh��WD i u
who is personally known ✓or has produced a who is personally known '�or has produced a
as identification. as identification. /
STAMP STAMP
uature of Notary Publj S' ature of Notary Publi
r, L I—),rs
Print Name of Notary Public I Print Name of Nota
Notary Public State of Flonds
Judith A Newell
E400%
Notary PublicState of Flonda My Commission GG 930459
Judith A Newell and� Expires 11/23/2023
930469
' Expire 11/23I202s ,
Revised 11/16/2016
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