HomeMy WebLinkAboutSubcontractor Agreement OCT 192017
PERMIT# — ISSUE DATE h
- PLAI M NG&DEVELOPAffNT'S]9RV10ES
Cot plianee Division
a x - BUILDING P 10W
SUB-CONTRACTOR AGi[EEIiMT
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c- a7:4 e- have agreed to be
(Co pony Name/Individual Name) n
the le I'r,z� / Sub-contractor for &-y n n ae&e- &1,0^
(Type of Trade) (P mnary`�.Contractor)
For.the p roject located at nc�
(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 wH1 be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATUM(Qualifier) O - RACTORSIMATURE-(Qualifier)
PRINT NAME PRIM'!'NAME
COUNTY CER ICATjON NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of � l��'-�l.Qi State of Florida,Connty or N E
cThe foregoing instrumenrt was signed before me tbis� l day of ,. The foregoing instrument was signed before me this)l day of. i
3 ,2� I,by `�v\lh'� e i y Lswy v�!. � �1�9���;21��by U—MA ku
who is personally!mown i�Lor has produced a ri.,, wbo is personalty hnowa�or'has produced a
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OCT -19,1017
PERMIT O I ISSUEDATE
,n P Al :&DE OPMENTS XVICES
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ul<1cKing&erode i ompll<uiace TflviSion �
M-CONTRAX ORAGREE]k*ENT
co•infort:00.nt rol •o€ St. •Lucie -County. , 1AC.. have agreed'to'be
(company Naineandividtial Mme) j
the H•VAC Sub-coitt Otbr-for Wyxmne D.ev.e.1 D_m:eat 'Corr).
(rho ofUdde) (P'rini�r�r Ca�►tractor)
For the project located at nal\ V � :
`(.Project wtroet 9;iilress ore property Tax! *)
It is tin&rstbod:thlit;if there is any'change-of status:re ,rding our pafficipation'with the above mentioned.
project;the 13411ding and Cadc RegWo6du Divisibn-of SL Lucie County will be advised pursuant.to the
filing of a Ghaug.e of ftb-coftdornotice.
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CONT"CrO)t SIGNATURE(ofidiiffe1•). t O iGNe>A USE(Queiifier)
M.a.Itt;hav Lil-e Wynne B.ar : - erman
PnIlyP NAlNE Y+MT NA M
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COUMVERTMATION NUMB COUM CERT]<FMATION NUMBER
State ofrioridxi c"My of ST. e,E Sto of Indift County of S'i&LA C.f
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