HomeMy WebLinkAboutSubcontractor Agreement (2) i
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PERMIT# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division l
BUILDING PERMIT
now SUB-CONTRACTOR AGREEMENT
Vc '�� have agreed to be
(Coin any Name/Individual Name)
Sub-contractor for
the e�r r z 2
(Type of Trade) (Primary Contractor)
For the project located atA,\)L of \ C
(Project Street Address or Property T x 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.
CO ACTOR SIGNATU E ualifi S -CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of P 1� State of Florida,Co my of U
—T�y� ,
The foregoing instrument was signed before me this\A day of The foregoing instriiment was signed before me this (7 _day of
` 20 ,by m .'L 1�2v Fa` ,20�,b 1AW
who is personally known�r has produced a who is personally known or has produced a
as identification. as identification. 1
ke STAMP +�/,�� V _ STAMP
Signature of Notary Public Signature of Notary Public
�_� k C_ W d r• - -"-..__ _ -C- L /. /yL 1rG&S c d
Print Name of Notary Public, M E LA LUZ VELASCO
Print Name of Notary Public
MY COMMISSION#GG050399 j.a:kV MA DE LA LUZ VELASCO
EXPIRES November 28,2020 ='i MY COMMISSION#GG050399
EXPIRES NOVember 28,2020.,.
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Revised 11/16/2016 `
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