HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - GMS SHEETMETAL & ACISSUE DAITII PERMIT.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance DivisionCOUNTY --",
fLORIDA
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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. '· have agreed to be
(Company NamelIndividual Name) . J
the ------\,M----+-"Lff.""-'-----1=-______Sub-contractor for Mel:tGrGx):5\TL.t:-nm J ~C .
(Type of Trade) (Primary Contlactor)
fur~~~~~~~\__~~B . ~~h l F~3 75I N~~~~~~_~~vd~~~~~~~=~~~~~~~~__
(project Street Address or p riperty Tax 10 #) . y I
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 ofSt. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
PRJNT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ~. ~e
The foregoing instrumeot was signed before me tbis "fthday of
C;drkr 7Z MaeX-MaW"520~b
who is personally know or bas produced a ______
STAMP
as identili a lion.
..-iit.~~~t.;;... KATHLEEN GANNON ffw/'J».·\~ MY COMMISSION #GO 914400
~~.~.~~! EXPIRES: January 18, 2024 ·'<~k¥.f~?<:··· Bonded ThI1l Notary Public UndelWl1tm
Revised 11/1612016
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U-S:CONTRACTOR SIG URE (Qualifier) '---
PRINT NAME
COUNTY CERTIFICATION NUl\'ffiER
State of Florida, Coooty of L\Ut..:1J n
m;~:'"'W'b)S~S_ig+-U'A....u.L!i~:.u'J4~~:.;o""'"{
STAMP
Sig lUre of Notary Pubhc
irU'D ~,. Co(~\i
Print Name of Notary Pub ,e
Notary PubliC $18111 (1/ FIOfiOa
Kevin 0 Cook
My CommiSliOn GO 34~2
Expires 0612712023