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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# U ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division r- • r BUILDING PERMIT SUB-CONTRACTOR AGREEMENT A U 6 1 3 ?v St. Lucia CO nt}', ;_ S+a4 pro PuA w 4- J 60_ KAJI _T►^x�_ have agreed to be (Company Name/IndividualName) I / I the roo-�I trL,� t✓o n'�r-C'C4V 1- Sub-contractor for l C�nS (Type of Trade) (PrinlaFy Contractor) l For the project located at /2©/47 1A3 i Ce ?i;,ter D" (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. CONTRA SIGNATURE(Qualifier) SUB CONTRACTOR SIGNATURE(Qualifier) PRINT NAME PRINT NAME C(7 (1ce, .13X 77 COUNTY CERTIFICATION NUMBER _ COUNTY CERTIFICATION NUMBER State of Florida,County of In 61 t'�� 11 State of Florida,County of The foregoing instrument was signed before me this of 15'rday of The foregoing instrument was signed before me this c2iStday of / kl ' r t��Q,r�, � 2e�' ALA_ 20�,by l�Q �h r✓ � Y who is personally knownr has produced a who is personally(mown X or has produced a o as identification. as identification. �(J_47 LeJ& t/�s STAMP a� `�"" STAMP Signature of Notary Public Signature of Notary Public ii __ Print Name.ofe Print Name of Notary Public 'iHar n0q, Notary Public State of Florida ` Pamela A Pusateri oar°�e Nota My Commission GG 110676 , pa A Plo State of Florida ore ov pO Expires 06/01/2021 v c c My C mmission GG 110876 Expires 06/01/2021 Revised 11/16/2016 it i _