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HomeMy WebLinkAboutSub-Contractor Agreementthe PERMIT # ISSUE DATE (Type of Trade) For the project located at PLANNING &. DEVELOPMENT SERVICES Building & Code Compliance Division Name) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub -contractor for 3--5 © ( S V, (Project Street Address or Property Tax ID (Primary have _ai?reed to be 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. I'm Q &�& & CONTRACTO SIGNATURE (Quali r) PRINT NAME A 9�---- - - COUNTY CERTIMCATION NUMBER State of Florida, County of —AXUJQ_+ - The for oing instrument was signed before me this�ay of 20_,y�`� who is personally known _or has produced a �A Al hn /? .9-0 NT R SIGNATUR (Qual' ier) -13C kq ]?RfNT NAME COUNTY CERTIFI ATION NUMBER State of Florida, County of �before The foregoing instrument was "— ay of 20A by who is personally known or has produced a as identification. as identification. STAMP Signature of Notary ub , �tata ry u�blic saJ/d� Jono I lea 0100 `.ao�eao�b� 1 Print Name of Notary Public uQISSIUJl000 AN =a r $imp /ftmeo @alldx3 uolssiWW03 �+®a `JnV PQI,v IQ Ole BL06LZ 9� uo o aieiS N3 1�3 lS oil Qnd AJeION P. I� 1 IJndA N3��3 `.OIPFY , ELLEN VAUGHN §lelp Of Of Public COMM10610M N GG 270079 Revised II/16/2016 'ri11jit0�QMV C"MISSlon Expires ()Ptobar 22, 2022 STAMP