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HomeMy WebLinkAboutSubcontractor Agreement P€RPAIT# 1��'1 `at C ISSUE DATE J 1 PLANNING & DEVELOPMENT SEPWICES Building & Code Compliance'Di`vision BUILDMG PERMIT SUB-CONTRACTOR AGREEMENT RECEIVED MR 2 0 70e7 I0004W(e: - Cyas eoo�� have agreed to be (Cornrpany Name/Individual Name) ' the �'v1I Sub-contractor for O 0 A P, 40 r(_,0-i5 4 (Type of Trade) (Primary Contr ctor) For the project located at 19©O-3 25 Z D Li; LJA-4 (Project Street Address or Projie4 Tax ID#) It is understood that, if there is any change of status regarding our participation with the above mentioned projecr the-building.and Code-Regulation Division of St.Lucie County will be advised pursuant to the f ling of a C a ae of Sub-contractor notice. NT ATURE(Qualifier) SUB-CONTRACT SIGL RE`(Qualifier) PRINT NAi1IE PRINT NAYIE CC�133CGS3 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUNIBER .ten State of Florida,.County.of +. Lux i e- State of Florida,County of eST The foregoing instrument was signed before me this-)0 day of The foregoing-instrument was signed before me this )day of n GrLh ,201),by M i Ct)(-3 e-A �•e'G`E'�� i y�FiIW`"\ ,20��,by \y.�+1 VI tU�.rs�t who is personally known 1—or has produced a who is-personally known or has produced a as identification. as identification. [JFI'(JC STAMP %"s.5xclYII' Signafure of Notary Public Sign tore o o a blic `" o��;`.t"121�%!c L; cl a►� l m a UNDACOLE Print Name of Notary Public sr; :.= MY COMMISSION 6 FF 14MOBI i Print Name of `otary Public i�% FFF 12243.1 lar EXPIRES;August 16,2018 �4;ra°,e�1: . s°`•' tlfr c'n; C�, � Bonded Thru Notary Public Ilndenvnters ° Revised 11/16/2016