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HomeMy WebLinkAboutRoofing Sub-Contractor Agreement PERMIT r �IOJ_ ()b ISSUE DATE PLANNING & DEVELOPMENT SERVICES ,` _ ! t . Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Rmrinq 5 75 '7tP- HOW ROD(- �xp�r�" ��� have agreed to be (.Company Namlellndividual Name) the ►Xf/nq Sub contractor for R fiornp_ !.-LC. (Type of Trade) (Primary Cori'ractor) dt S-0f- 00c fs -000_� For the project,located at ��,�� Sa /�r'�� .e_sr. - Pczrr� �,t7�FF,3,3,�/- .,,....� ....._ tProject Street.address or Propeny Tax ID#) It is understood that. if there is anv chance of status regarding our participation with the above mentioned project. the Build-Ina and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Chance f Sub-con ctor notice. NT R SIGN L! (Qualifier) SL Tg kCTGR SIGN.MIRE(Qualifier) PR. N_kttE PRINT NAME COUNTY CERTIFICATION NUMBER COUNW CERTIFICATION NUNMER State of Florida.Comm uf0'U- 4__, Slate of Florida.County of m aw The forc;oing instrument wac sinned before me this day of The foregoing instrument was signed before me this v of a•h©is persnnn3ltiv known or ltas produced a uho is personally known�or h�produced a a_ide as identiCcatioa. STA' p r STAMP ip, lure of No Signature ofvtary Put/ u c �r^Y CRYSTAL Y BISHOP 77 KGI�cS Pri I-- CvDMWCOMMISSION#GG127618 t'rFnf Name of Not-ar}•Pu61ic .."., . EXPIRES July 24,2021 yt7�w,1 Cyr,., Notary PUbliC StdtP U(hIOTiC i. Rcyscd 1 I'In 201n �1+� y=,""' k'; Ccmmissiar,,!GG ZLi2SD9 My C3mm. xpires Apr 1,2GZ2 "' awded thrpo�h Katlunal Notary AW1.