HomeMy WebLinkAboutSubcontractor Agreement i
PERMIT# ISSUE DATE
]P1LANN-MG&DEVE—LOPARNT•SEPWICES
wilding& Cock Co"Hance Division
13V", MG PERMrr
517JR-COI+niR CTOR AGREEMENT
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have agreed to be
(Co parry Name/Individual Name) j
the t.le-c-t't,z e.. / Sub-contractor for &L)!r n,,?.c 14e c e- f c/,O^ e %e-o 1/f
(Type of Trade) (P mn a&Contractor)
For the project located at
(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.
CONTRACTOR SIGNATURE(Qualifier) O RACTOR SIGNATURE(Qualifier)
PRINTNAW PRINT NAME
COUNTY CERTIFI MONNUMBER COUNTY CERTIFICATION NUMBER I i
State of Florida,County of State of Florida,County of±LJ-kkL'i°Z
The f`oirVoi�ng instrument was signed before me this day of ,:.. The foregoing instrument was siped,�before me this",` day of
GJ ,20� 1,byCe �.,����.� v !, v� �C� ;20�7 by I�AUII��1S�C4 Vim_
who is personally known-Kor has produced a �,�,, who is personally known Atl or has produced a
as identification. . / as identification.
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STAMt i.{\ � A��e STAivr
Signature of Notary Public Signature of Notary Public
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Print Name of Notary Public Print Name eMotaryPublic 90
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Cgmfort, Control .6 f. $t. 'Lucie •C;aunty, TAC,, haveagxee�'to'be
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the HVAC Sub-c rltskotbrfar W :xrn .b•eve.7 a merit 'Cory
(Type of Trade) (Frimaiy Co�traator) .
For the project heated at
It is undirstodd.fti if therels an . • 'y Shan o status�regar l ng' Tyr pai iicip,ti n w� the �O x erit�oned.
'project;the Ulding and Code Regitkdbh MUM Of St.Lucie County will be Wised p4s It tv the
filing dra.Chaig-10 of Sib-coftramme'dce.
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'fee fo"bng insffutigantWss ttftd l ef6re me lbh`T� day of Teo fbrelwWS instr+i mtwas siped befufa me tT�ig of 1
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