HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - JGE II!PERMIT# ISSUE DAlE
PLANNING & DEVELOPlVIENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACfOR AGREEMENT
____~__~J JDr~~~~-~~=----------------------------------have~~tobe
(Company NamelIndividual Name)
ilie __~__~~=uey~\~~~'~~~~\__________ Su~contractorfor Ak1 ;QIta~0di:n ! J}c.
(Type of Trade) (primary Co ctor) )
For the project located at l51 N~Bv(t ~Ram J~3A57
(project Street Address or Proptrty Tax ID #)
It is understood that, ifthere 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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PRINTNAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIF1CATION NUMBER
State ofFlorida, CoUDty of .st L\Xie ~ State ofFioricb, County of s-:1 t de.l ~
The foregoing instrument was si,.anet "lfore me this~day of The foregoiDg instrulHnt was signed bd'Orl! me this~day of
C£~~ J20b-\. h-W\6.:zdOL.~():jcl:Jer .'')t: NJQct: A,\g:fp-o _oolr bas Prod~who is personaUy known or bas produced a _______ wbois personally Im~_____
as i " en cation.
STAMP STAMP
~J~!!,~~!.'j", .~..~. KATHLEEN GANN:{i( .:.! MYCOMMISSI ON\'t" .{.~,l EX ON # GG 914400 ~, ,,\l'\\" &n~r::..~e::.~~uary 18, 2024
"I!V ~1Pub1ic~
Revised 1111612016