HomeMy WebLinkAboutSubcontractor Agreement _ d
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EMIT
# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES ,m _
Building & Code Compliance Division
o x BUILDING PERMIT APR 1 12017
SUB-CONTRACTOR AGREEMENT1 P E h Hr ITTi NJG
I St. Lucie County, FL
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�`ecC f�G TAL have agreed to be
(Company Name/Individual Name)
the f Sub-contractor for
(Type of Trade) (Primary Contractor)
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For the project located at W, Zq �'����:Q �(A l �'- (—(DO
(Project 8treet Address or Property Tax ID#)
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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.
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`CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRAC I TOR SIGNA (Qualifier)
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T NAME PRINT NAME
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C 0UNLrY� 2 0-A' S`�- -cam noo 9
NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of CA� State of Florida,iCounty of �
he foregoing instrument was signed before me this day of The foregoing instrument was signed before me 4 this day of
201 by �P �,1 l�I��.r\ ( ,20 1,by
who is personally known or has produced a l✓ who is personally known or hal produced a
as identification. as id ntirl tion.l
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STAMPWta
STAMP
Signature of Notary PublR Si ature of Nota Public
Print m ae of Notary Public Pn Name of ota Public
STACEY GARCIA
KA R E N S. N I E L S E N STACEY GARCIA '0. MY COMMISSION#FF006M
C o m „ F F ?1 �Pv F.= ; 'a,` EXPIRES:May 16,2017
mission llSEi37 ? = MYCOMMISSION#GG085840
C o m m i flf fl��� Bonded Thru Notary Put&Underwriters
MY ssion Ex Tres :�' EXPIRES:MaY116 2021
Revisedll/1(il201 '',.�uF °"� A ',+ °'
June 1 2, 2 01 8 �•'FOF �"' Bonded Thru Notary r U em