HomeMy WebLinkAboutSubcontractor Agreement 1
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
ry ° -Building & Code Compliance Division RECEIVED i
FEB 1 9 2021
BUILDING PERMIT Permitting Department
SUB-CONTRACTOR AGREEMENT St. Lucie County
Ike- <e ,Ar2 C A& LL L have agreed to be
(Company Name/Indi - al Name) I
the P1l,,,b;A' - Sub-contractor for U(Y,��I8 t4A��
(Type of Trad (Primary Contractor)
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For the project located at
Project Street Address or Property ax ID#)
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It is understood that if there is any change of status regarding our participation with the above mentioned
project, the Bui in and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Ch g of Sub-contractor notice.
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CONTRACT ] 'ATURE(Qualifier) SUB-C 1 i ATURE(Qualifier)
mowd `C �J�nSon �i
PRINT fqAIVIE, PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 0-r Yz-�V-c_ - State of Florida,County of ^mil !fin s ✓
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this �� day of
202A,by ,20v1 ,by
who is personalty known_or has produced a who is personally knots _or has produced a
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as identification, ) as identification.
L STAMP STAMP
Signature of Not Public Sig ure of Nola�v Public
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Print, e of Notary Publi Print\ of Notan Pubii
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s'pr ors.; COURTNEY E REGAN - s
Notary Public•State of Florida .......p COURTNEY E REGAN
Commission#HH 028294
My Comm.Expires Sep 19,2024 =NZ-n+, Notary Public-State of Florida
x �= Commission#HH 028294
Revised 11/16/2016 Bonded through National Notary Assn. M Comm.Expires Se 19,2024
•.•..oF�;,' Y P
Bonded through National Notary Assn,
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