HomeMy WebLinkAboutChange of Contractor (2) Aug. 2. 2018 10:59AM No. 2667!oiP. r4
. PERMIT# /� ISSUE pA?r:
PLANNING&DEVELOPMENT SERVICES
s BuRding& Code Compliance D
. RECEIVED
BUMDXNG PF1tNIIT
M-CONTRACTOR AGIMI NT A U G 0 2 201
8
ST. Lucie County, Permitting
have agzeed to be
(CompanyNemeAndividual N&ne)
the F,UDf Subcontractor for��f 07,► 5 D a l
(T e of•Tiade)':. (primacy Contractor)
For the project located at l l e ( es f b f - yuaeA
(Project SttreetMdressor?rope*Tax #
ft is understood that,if there is any change of status rcgardizl,g o'er participation with the above uatrntioned
project,the Duilding and Code Regulation Division of St.Lucie County will,be' advised'pursuant to the
filing of a Change of Subcontractor notice.
CONTRACTOR MONA,TM.M(Qualiilc) M-CONfRACTOR SXGNA (Qua er)
PR'�i 1T NAME PRINT NAW..
COUNTY CERT)MCATIONMIMER COUNTY CERT]MCATIoN NOMTIER
State of Floxids,County of JnEl—&6zz_� State ot7Rlook CoNnty of_11—Ll�
The forge/goNgg Wsstt'umen/t s s➢gned before me thly 2-11ay oo�a�. The foregoing➢hstrpment wAs sighhed before mo this !Yquy of
20G�by l/!� (Jill � ` ,26 ,by CJQc�', � ,
Who is personallylmownV or has produced AwhofSperaobr+lly]move rhaeprodneecSa
as identification. as➢dtl+tiLaatioh.
STAriTP SxA➢vIP
S➢ awraofNolyPublic s➢ghatureo Notary Pub c
Print bfamc of Notary Public Print Name of Notary Pnblic
v r ripmSE LEMAY
Paula E.O'Brien 4
NOTARY PUBLIC * CRMM�s1011Gc u7T3]B
STAVE OF FLORIDA c* �REs'tla�ch2s,2�21
Revised 11/16/2016 CapFFg7Q337 °vETnndedTluuSudgolNeta�ySecv>c�s
Expires 3/14/2020
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