HomeMy WebLinkAboutSub Cont ROOF UTB_ _ PLANNING & DEVELOPMENT SERVICES
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J Building & Code Compliance Division
BUILDLNG PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
( mpany Name/Individual Name) j I-!
the Sub -contractor for V) I`C 1 r1 K f �— ��1�1 l�lChlea
(type of Trade) (Primary Contractor)
For the project located at CC e__
(Project Street
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.
NTRACTOI SIGNATURE (Qualifier) %%UB-CONTRACTOR SIGNATURE (Qualifier)
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COUNTY CERTIFICATION NUNIBER
State of Florida, County o
The foregoing instrument was-s7ign�ed before) mme,s thi] day of
Q 20M by k2� C !►nW,
IQ
who is personally !mown _or has produced a
r')
ifica[ion.
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Signature of Notary Public
Print Name of Notary
Revised 1111612016
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STATEUio2'
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COUNTY CERTIFICATION�NUNfBER
State of Florida, County (/I
The foregoing instrument was signed before we this/ day of
20_Zl by
who Is personally kn or has produced a
as /n�ation.
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'signature of Notary Public
(2r�id a P C�3 &&a 0 Lb oilu
Print Name of Notary Public
��torft Notary PubNv State of Honda
Amanda P Sanderson
My Commission GG 211256
jam* Expires 04125l2022