HomeMy WebLinkAboutLot 23 - HVAC SubAgreementPERMIT # ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building &Code Compliance Division
� i l IQ,rS C�TR.A �
(`C�ompan Name/Iud�iv�'dual Name)
the 'vJ ��Q11rtC(.t-4+
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L � have agreed to be
Sub -contractor for �� ��� �-
(Prtmary Contractor)
(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 and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of�hangepf Sub -contractor notice.
SIGMA
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COUNTY CER IFICATION NUiVIBER
State of Florida, County of�je.
The foregoing instrument xas signed b�ef�ore`me thi day of
�, ZO T.�,by J�]l O
who is personally known �r has produced a
� tification.
STAi\[P
na re of Not r Public
Print Name of Notary Pub�� c
�, ,� JENNIFER DAVERSA
�•`/���r` Notary Public •State of Florida
� Commission � HH 05635'
• .. '�'aF_,� My Comm. Expires Oct 22. 2024
3onded through National Notary As;r.
Revised I l/16/2016 •.,�•
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SUB- ONTRACTOR SIGNATURE (Qualifier)
__�c�bU,c.�. r�,�l�
PR[NT NAbIE
COUNTY CERTIFICATION NLJ�IBER
State of Florida, County of ����-/
The fnnoregoing instrumen��fwas signe��dpphe��fyyor��e m-er(this 1� daypo�f
who is personally known x or has produced a
as
SigtGliti�•e of Notary Public P G
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�� � ��o.�l ��
Print Name of Notary Public '2�rr'y�
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