HomeMy WebLinkAboutSubcontractor Agreement PERMIT# �c) ISSUE DATE
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PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
• r BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT :
have agreed to be
(Company NatneAndividual Name)
the JAC Sub-contractor for � q-L) P7X�\\�U-6 v- '3MW2-1>
(Type of Trade) (Primary Contractor)
For the project located at 6,?/0 - 0,5 h�W U
(Project Street Address or Property Tax ID 9)
It is understood that,if there is any change of status regarding our participation with the above mentioned
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project,the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
filing of a hange of Sub-con e.
•CCo�TRA SIGNATURE(Qualifier) S OR URE(Qualifier)
PRINT i MME-// //� 7 P 'T NANfE
COUNTY CFRTIFICATION NUMBER COUNTY CERTIFICATION NUMBER 1
Stale of Florida,County of 99WArev Slate of Florida,County of_&W—,V/>
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The foregoing instrument was signed before me this A—day of The foregoing Instrument was signed before me this day of '
20.11 by ,20A,by _ !
who is Wally known2 or has produced a s personally known____or as produced a
as idenl cation. a denti on.
STAN'IP STI"IF
Slgna ure of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
LYNN GRIERSON
,
Notary Public-State of Florlde ,4yL�, KABEN LYNIV GRIERSON
�= Commisston N�G 322428 ;o`
�� My Commisston Expitas = `�:�iotary Publlc•State of Florida
Revised 11/16f2016 .,vt ,�,. `= Commission fl GG 322429
iiii July 19.2023 +W1 't7�� M
Y Commission Explras
July 19,2023