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Subcontractor Agreement
PERMIT# ISSUE DATE YLAINiNliNG & llEVELUYNlEIN'1' JEKVIUE, Building & Code Compliance Mvision 2 U17 BUILDING PERTUIT SUB -CONTRACTOR AGREEMENT 0 13 4 0 � I V e Ae5 i Fir N have agreed to be (Company Name/Individual Name) the (a R 5, P I p i N Sub -contractor for A P-X (Type of Trade) (Primary Contractor) For the project located at 13 3 05 � w -BA y (k)©0 h pLK C r I Pgt- M C (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 will be advised pursuant to the filing of a Change of Sub -contractor notice. COIS(TRYCTOR SI . `A ME (Qualifier) gyl.l ohm. A►J PRIM NAME COUNTY CERTIFICATION NLIIBER State of Florida, County of 42L 1_^ /GA The foregoing instrument was signed beforemethis 30 day of /'�'a , 20 1 bby N/�1 G i-v AJ who is personally known / or has produced a as identification. STADIP Revised 11/16/2016 /%; SL4 C CTOR SIGNT,ftVRE (Qualifier) PRLNT NA1IE ,9?/® 757 COUNTY CERTIFICATION \ti1IBER State of Florida, Count) of'ej6e % The foregoing instrument was signed before me thi//W2� day of ¢ 2 0by Zj,/ ! G✓l%i��! who is personalh know or has produced a as of Notary Public Print Name of Notary Pu DAMES W. PAUUhI I MY COMMISSION N FF 9W78 EXPIRff jaWary21, 2020 Bonded Thru Notary Puaic Underwriters