HomeMy WebLinkAboutLot 7 - HVAC SubAgreementthe
,��.�4,;.�r�.;,;.y���,, PLANNING &DEVELOPMENT SERVICES
Building &Code Compliance Division
Name/Indiv�dual Name)
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(Type of Trade)
BUILDING PERN[IT
SUB -CONTRACTOR AGREEMENT
Ifs
have agreed to be
Sub -contractor for ��j �1,��1 �}-
(Primary Contractor)
For the project located at L-.�� 7— �� 2 �Ce.Ui �ST"��S �.
(Project Street Address 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 an Code Regulation Division of St. Lucie County will be advised pursuant to the
filing o Cha ge o ub-contractor notice.
t: Nt`]�1�1rC"rQRSIGNATURE (Quanfier)
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COUNTY CERTIFICATION NUivIBER
State of Florida, County ofy'�
Th�e/fo�re�gopi�ng instrument was signed before me this i� day of
���`e"--' 20 7i by ��'hW]iQ%%IG QG'
who is personally known _or has produced a
entification.
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✓� STAi\IP
�S' e of � o�tar ublic
Print Nan a o� otary Publ c
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JENNIFER DaVERSA
Notary Public -State of Florida
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Commission � HH 05635 t
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My Comm. Expires Oct 22, 2024
��� Bonded through National Notary Assn.
Revised I l/l6/20l
SUB-�ONTR�CTOR SIGNATURE (Qualifier)
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PRINT NA�[E
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COUNTY CERTIFICATION Nt7�IBER
State of Florida, County of s� ! t � L.(�
9The� f�or�eg�oing�instrument vvas signed before me this d1ay of
who is personally known �or has produced a.C% \`a -
as identification.
£wa�i����� U ,,•,,ynlur,• �f S P
's .►t a of Notary Pubnc C
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Print Name of Votary Public � �.
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