HomeMy WebLinkAboutSubcontractor Agreement I
PERMIT# ISSUE DATE
o PLANNING & DEVELOPMENT SERVICES JII
Building & Code Compliance Division
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BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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% �have agreed to be
(Company ame/In ivi al Name)
the ���� Sub-contractor for
(Type of Trade) (Primary Contractor) i
For the project located at 3 _5�2_ �)` �_ � "
(Project Street 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
filin f a Change of Su =contract r notice.
RACTOR SIGN'TUBE(Qualifier) o -CONTRACTOR sI ATURE(Qualifier) i
LPL
PRINT NAME
PMNT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER,
State of Florida,County of •td� State of Florida,County of e=AL- k�
The foregoing instrument was signed before me th�T day of The foregoing instrument was signed before me this_day of
1 L. 2011 by 7-- �)4- 2017 by iell
who is personally known or has produced a who is personally(mown or has produced a
as identification. as identification.
OAA AU*-r01 4-11,11
TAMP STAMP
Signature of Notary P I' Signature of N a P. lie
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Print Name of Notary P blic / Print Name of Notary Public i
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g1yPko� AUDREYB.HUMPHREY
t^pY PUByF t- MY COMMISSION#FF 174772
;=Q•• ;��; AUDREYB.HUMPHREY EXPIRES:March 6,2019
Revised 11/16/2016 =* *= MY COMMISSION#FF 174772 %�
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• EXPIRES:March 6,2019
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