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HomeMy WebLinkAboutSubcontractor Agreement051��ICU 1 O Vo.G� ore? i PERMITO s the I83Um oATE PLANNING & pBVELfypMENT SERVICES Building & Cade Compliance Division ]S UILDWG PERMIT SUB.CONlRA,CTOR AGREEMENT o ww Namdkdiv3daal Name) -/,��•,�.�� r-7- it Sub -contractor for t fypa of Trade) mamnry Coutmewr) I For the project locatcd, at It is understood that, if there is my cb wse of statue iegard ng our pardaipatioan 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-contxaWOFnotice. i have agreed to be C�,CJ Aw/ a P NAl►Tl; q ' ,5 5� COUNTY i'MM r UT—O NUMBER state of Fladds. Qannty of / e—,, cZ s *tgotagleserumtatwoeti aelo metrk7dsyot STAMP r tonturootr4owy DUB Prtatt'Qeme otNotary Pubt i rotes ;Pus�,c SHERRI FEHLMAN Commission # GG 187160 Expire® March 14, 2022 Etevised1111U2016 '�°F1+�'� BonaceztuuguagotP�omnservices - PRINT NAME ' 1, I OQ NWC96rIFICAT[O ER . Wk e!"@lorlde. county lisping to"Mm"twas slpn� fora tbit-�dayor s Prtnt ame of Net ry FOR& SHERRI FEHLUAN * Commisalon # Gg 187160, 2022 l� PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (C m ny Name/Individual Name) the //99 Sub -contractor for Z Q Lxnele.� a (Type of Trade) I (P rimary Contractor) ' For the project located at l �� (-. Mqt'�r-2� (Project Street Address or Property Tax ID #) I i It is understood that, if there is any change of status regarding our participation with the above mentioned I project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the I filing of a Change of Sub -contractor notice. i CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER/1 State of Florida, County he foregoing instrument w before me�thi day of / ,20�,by f /V who is personally known ' or has produced a as identification, _ I ignature of No ry Public i I Print Name of Notary Public STAMP SHERRI FEHLMAN Commission # GG 187160 Exp es March 14,2022 j�©F ! b�Q\oi Bonded rrw Budget NoUq Serf cem y Revised 11116/2016 SUB -CONY CTOR SIGNATU uali ier) PRINT NAME COUNTY CERTIFICATION NUMBEy State of Florida, County of T oregoing instrument was signed b fore me this day of 2gLi by who is personally (mown r has produced a as i nti ic�tion. STAMP �ySig ature of Not ry Public Print Name of Notary Public ��� BHERRfFEHL �.. Commission # GG 1887 160 tdF t�€o a Tres March 14,202, � Bdget No1�,