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HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE - -- PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 0 0 - - - - BUILDING PERMIT SUB -CONTRACTOR AGREEMENT E1PG�_riG4t S&-4_11'fe- TyC. have agreed to be (Company Name/Individual Name) the El EC:TRIGAI Sub -contractor for WILCO CONSTRUCTION INC. (Type of Trade) (Primary Contractor) For the project located at 405 NETTLES BLVD. 4502-501-0591-000-0 (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. CO\'TRACTOR SIGNATURE (Qwdilicr) SUB- NTRACTOR SIGNATURE (Qualifier) ROBERT WILLIAMS PRINT MIME PRINT NAME 29115 0Z 9 L/ -7 -2- COUN'ry CCRTiFICATION NUNIBER COUNTY CERTIFICATION NUMBER sww or Florida, county, or ST LUCIE Slale of fiorido, Couatq• of a `W, 11'bc eggooinQg Insb•ument was signed before n�c tlds I dii. y oof,� � � The/foree�gaiing instrument wits signed lie'ffaere me Ildss �� � � dry or �L— '� , 21e, bly /�S,.b —�• I �W l +s �S J 24a. by���.1' U • LAW tvllu is personally lutown _V• Ims produced n %tho is personally known 1/or has produced it its identificationas identification. STAMP 91'AMP SignnlurcofNoloryPublic S' urea NahwyPublic kM la wln e+z,1efkLok-- PilarMit-hebTlVolfiry Pull r _ _ Print Nome of Notary Public DAWN FITZGE=RALD vPo .. G�"` DAWN FITZGERALD MY COMMISSION # GG 162348 ; ' MY COMMISSION # GG 162348 EXPIRES: December 17, 2021 t_ e_ EXPIRES: December 17, 2021 Bonded Thnr Notary Public Underwriters r—� e.- , or Q; Bonded Thru Notary Public Undeiviriters Revised 11/16/2016