HomeMy WebLinkAboutSubcontractor Agreement i
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PERMIT# "" ISSUE DATE
M.11
f� PLAWMNG A DEVELOPAIE TT SERVICES
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Building& C66.Condpfannce Division
µ BURMING PERMIT
SUE-00I47CIt.4►CTOR AGREEMENT
/ r: c- have agreed to be
(Co pany Name/fndividual Name)
the C`.teC-r r,z e. / Sub-contractor for ti n { 1.)e e. tell
(Type of Trade) (P mnmaary"'.Contractor)
For the project located at s
(Project Street Address or Pc' Tax ID#)
It is understood that,if there is any change of status regarding our participation with the above mentioned
prl jest,the Building and.Code-Regulation Division of St.Lucie County wr'll be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) ZO ` RACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
S<1 � , �l�r�
COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER
Statl of Florida,County of ��(. State of Florida,County of f7A t.
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The(foregoing instrumeiintt�was signed before me this day of ._. The foregoing instrument was signed before me this''^ day of
�G)K .20` I,by e i,,f sJ.�.Q y��!,�(v` �� ;20�,) by taW+ .1(P UCr
who is personally known Y—or has produced a ,., who is personally known-V--or has produced a
as identification. . as identification.
v STAMP STAMP
Signature of Notary Public Signature ofNotary Pubic
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PrintName of Notary Public Print Name ofMtaryPublic
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•pxoject;the BUiidit 'and"Code Rag0latibn Division of St.Lucie County will ba adVised pursue to the
g da Change of cb-cuntmmetar-notice.
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