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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# „J C) I C) .,- (D ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division O D BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Y-g3S Ma o)kvtU}1�1L �}dUS��- 'S have agreed to be (Compoi y Name/Individual Name) ` r the G C Sub-contractor for s �, - Va t t� (Type of Trade) (Primary Contractor) For the project located at � j Q�-v-2�1 0-K1 r\ (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. UMW CO OR IGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE( Tier) � e 1N !PRINT N PRI11T NAME 'COUNTY CERTIFICATION NUMBER , ,o COUNTY CERTIFICATION NUMBER ,State of Florida,County of \6`� "` State of Florida,County or 'The foregoing instrument was signed before me this�i day of The foregoing instrument was s' ed before me this��day of BIOS 2P I bx �S�g.�n ��l le In N� L 2021. by who is ersonally known�or has produced a who is pe a owd�or has produced a !asides 'r tion v e as/identi cation N ! ., W li r N / r i•M �• S' r otary Public ^:_ q N? Signatur o b e o U O OF C .+ Print Name of Notary Public m Z,o 0 0' Print Name of Notary Public LE U U u U v w a V " v Revised 11/16/2016 �e,st►, I i gig PERMIT# ®� 6 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division i BUILDING PERMIT SUB-CONTRACTOR AGREEMENT �( x �I�/inn� �� L�— have agreed to be Company Name/Individual Name) the V1 V vv\ VD\C\ Sub-contractor for (Type of Trade) (PrimaryContractor) ©-,,,we For the project located at.a ��� L� k L (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 I , filing of a Change of Sub-contractor notice. U ;NT "NA URE(Qualifier) -CONTRACTOR SIGNAT RE(Qualifier) PRINT N ME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of ±iQ State of Florida,County ofi/� i The foregoing instrument was signed before me this day of p The foregoing instrument was signed before me this�day of 20 by`�( Q,'►����(1\���. 20_,by who is per pally known or has produced a who is personally known or has produced a I as,ident• cation. as identification. M••'•, ]3: S ure otary Public o; ,'c' Signature of Notary Public Print Name of Notary Public 3 a riot Name of Notary Public Ir m mn3o mg ,; m S O��'� oy �maRevised 11/16/2016 o o�. N x Co.<wNTW A