HomeMy WebLinkAboutSUB-CONSTRACTGOR AGREEMENT P RMIT# `Qki TOR ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building.& Code Compliance Division RECEIVED
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' BUILDING PERMIT SEP 2 9 2021
SUB-CONTRACTOR AG12EEi41ENT
St.Lucie County
Permitting
I
or 6"'4Mz1Q22W Have agreed to be
(Company Name/Individual Name)
the Sub-contractor for
f ypt:of i:rtde) (Primary Contractor).
f
For the prc ject located at
(Project Street Addretis or Pr perty Tax ID Af)
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.
C:QN`11fW,717012SICltiATI)RE(Qualifier) f3 >f*R �(RSU s(Qu ecr)
ext
PRitiT NAME PRINTNAME.
L4
OU...N"T CE RTiFiC.ATION NUMBER CnG: 'V CE0TI'01— I[ON NUAIIIER s
State of I torida,County of i Q�"� State of Ftoridn,County of /
�l
'File foregoing instrument vsris signed before me thlc�d' of The roreRoinN Instrument was signed licTore me thN day of
2n�1•btu Wr .260,by l.C.?
wlto is personally knoiva ar ha..produced u who Is personally known!-er bas produced a
as Identification, as fdcntificatlon.
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5f'A1iP � � STAMP
§tgnaturcofi\otaryPn6lfc SI fama fAotaryYu lie
I C veis Y7J-'( a
Print Name of Notary Public Prlut Name oriNdlary Public
VERONICA SA-CIO.
Public-State of Florida• .a� VERONICA SA-CIDO
Notary �i \G�; Notary Punic-State of Florida-,
Commission#GG,3Z5355 r;,�»�..
romm,Expires Jun 15,2023 •'t�;Q; CommlSStar. GG 3.25355
itsi i F 3ti. My h National Notary Assn. `''t o:qE' Mycbr m.Expires�t r-1.5,2023
Bonder tr rouQ " Banded thro�gh'ratiana;Notary Assn.
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