HomeMy WebLinkAboutSub-Contractor AgreementI '
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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Company Name/Individual Name)
the F-1 P�C v 1 C IA ..
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
UCEIV8
JUL 21
ST. Lucie County, Permitting
have agreed to be
Sub -contractor for
�{(Pxtma r0ntracto2)
(Project Street A adress 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.
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CONnACTOR SIGNATURE (Qualifier)
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COUNTY CERTIFICATION N—
State of Florida; County of l�,
The foregoing instrument was signed before me this & 1 day of
1 2P4 by raw Nu 1Y1�t,p0Afl0
who is personally known _or has produced a '✓
as identification.
STAMP
Signature of Notary Public
Print
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KAREN S. NIELSEN
Al,State of Florida -Notary Public
=Commission # GG 207484
My Commission Expires
Revised 11/16/2016
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,,SU = • TR7A'CT�ORISIGNATURE (Qualifier)
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COUNTY CERTIFICATION N MBER
State of Florida, County of
The foregoing. instrument was signed before me thisday of
2at by AV)fn KW
who is personally known _or has produced ay �.
as identification.
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��ry Public
Print Name of Notary Public
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S• NI State of Florida_ ELSEN
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My Commission 20ires
June 72, 2022pires