HomeMy WebLinkAboutSubcontractor Agreement PERMIT# /' �2 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
iCOUNTY
BUILDING PERMIT RC�E1V��
SUB-CONTRACTOR AGREEME
O C T 26 2020
n °`�] ST. Lucie County, Permitting
n
' v `' ' ` C b o C`� have agreed to be
(Compan ,Name/Individua1 a e) n ff,A�� y
the 1J l t L�� ��� :)_Sub-contractorfor 1�n4 � co ljs' /U c
(Type of Trade) (Primary Contractor)
For the project located at i l� Vt _L/ /4q—
(Project Street Address V Property #)
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) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME V PRINT NAME
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COUNTY CERTIFICATION[NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of �C t~l�is�, State of Florida,County ofi`��
The foregoing instrument was signed before me this-9(0—day of TbR for going instrument was signed before me this day of
tCJ✓ ,20 20 by i2 atCR� ((��) (/ +207si7+by r
who is personally known or has produced a who is personally known_o�has roduced a
r .
'dentification. _vs+'Alk, Notary Public State of Florida as i e tification. -
Dianelis Rodriguez Notary Public State of Florida
My Commission GG 299407 Dianelis Rodri9l
Expires 02/07/2023 STAMP My Commission WM07
Signa of No a Publi Signature ota P blic 4 xp—ims 02/07/2023
Print Name of Notary Pubiff Print Name of Notary Public
Revised 11/16/2016
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