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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# /�.0 _, © �. ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
OCT 2 6 `11.
ST. Lucie County, Permitting
have agreed to be
(Company ame/Individual Name) nn ((� /
the (; LJ`✓. U o l ��e Sub-contractor for �I at ITV l (�10�! � LL
(Type of Trade) �L (Primary Contractor)
For the project located at 4 W`�'T � A L
(Project Street Address o roperty TgID#)
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 IGNAT E(Qualifier). SUB-CONTRACTOR SIGNATURREE,(..Qualifier)
ifln Gao .
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
e foregoing instrument was signed before me this o (J day of/ / The foregoing instrument was signe ore me this day of
20 ;by �-k ,20a,by r7G7 I CJ Fd t�
who is personally known' or has roduced a who is personally known_or has pr u e a
as identification. Notary Public State of Florida as iden'Ica d Notary Public State of Florida
+�P `Dienelis Rodriguez '; Qianelis Rodriguez
�j "Expires 2ission GG/07/2023 299407STAMP � E pe0Commission f�� 289407
iSigna re of o ry P1 Signat ofNo Publi
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016