HomeMy WebLinkAboutSubcontractor Agreement RFCEI''-n, OFT 19,2617
PERMIT# - ISSUE DATE
;y ��..,_�, . PI,A�NIING I)ELOPlI �Sk1ZVYCES
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SIIII;DING PPRMff
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Co pony Name/fndividuai Name) n
the �tec,r t,z e / Sub-contractor for . 4 ri.i //e&e_ /C/o^ ew rec,�
(Type of Trade) (Pnma6.Contractor)
For the project located at
(Project Street Address or Property Tax ID#)
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It is understood that,if there is any change of status regarding our participation witb the above mentioned
project,the Building and Code Regulation Division of St.Lucie County wt`ll be advised pursuant to the
filing of a Change of Sub-contractor notice.
\CONTRACTOR SIGNATURE(Qualifier) O ` RACTORSIGNATURE-(Qualitier)
PRINT NAME PRINT NAME
CUI)NTY CERTMICATION.NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County ofi Z.
The foregoing instrument was signed before me this 1 day of ._ The foregoing instrument was signed before me thisLK',��day`of.
y � ,A I,by_`��\ � �� :2��by I�AW�2�C4
who is personally!mown.—Y—or has produced s ..�. .,,;- who is personally known_V or bas prodnced a
as identification. as identification.
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Signature of Notary Public Signature of Notary Public
print Name ofNetery Public Print Name of Notary Public
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