HomeMy WebLinkAboutSubcontractor Agreement r wi1II ��
PERMIT# I -�� D � � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
LUC
Building & Code Compliance Divisi n ��-
BUILDING PERMIT O C j 2 '',VO
SUB-CONTRACTOR AGREEMENT.
ST. Lucie County, Permitting
bo.u.l e+a
�( CA:X)t—,0 ts have agreed to be
(Conan N meAildivi ua Name')
the p y Sub-contractor for < )
(Type o Trade) (Prima ontractor)
For the project located at I lJ
(Project Street Address or Prop Tax 1p#
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.
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CONTRACTOR SIGNATURE Qualifier) -CONTRACTOR SIGNATURE(Qualifier)
elP'%�liv��Jv � •O�L
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER ,,_/' COUNT CERT ICATION NUMBER
State of Florida,County of 0i ca115n IL19. _Q_ State of Florida,County of
The foregoing instrument was signed before me this�day off f The
foregoing instrument was signed before me this day of
Di�O�, ,20a),by Aoy-n Jo e�fL 6�P fl !.� ,20��by rC��. �t
who is personally known or has produced a who is personally known_or has produced a
a entification. a
d� Notary Public State of Florida s identificati .40 Notary Public Sta of Florida
Dianelis Rodriguez' Dianelis Rodrig z
My Commiaaion GG 894 My Co i on G 298407
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z i !0'0 023ST� Ezp= /202
Si at of Nota Public Signat a of Nota P blic
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
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