HomeMy WebLinkAboutLot 28 - HVAC SubAgreement�.;nr3� �..�;�.,�N:;;�;:;; PLANNING &DEVELOPMENT SERVICES
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Building &Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREE�IEN'C
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l � have agreed to be
(Compan Name/Individual Name) '
the 1� ((�QQlt (,� Sub -contractor for 'f ��ll �-
(Type of Trade) (Pttmary Contractor)
For the project located at
ect Street Address or Property Tax ID #)
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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 oFfl,Change,�Sub-contractor notice.
(Qualifier)
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COUNTY CERTI CATION NUi1IBER
State of Florida, Count)' of���
The foregoing instrument eras signed _bfef-ore me thisQQ _ d-a'y��of
who is personally known W or has produced a
. ' entitication.
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Print Nume of Notary rublic
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ar a,, •., JENNIFER OAVERSA
.:'�"1`�'�� Notary Public -State of Floriea
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' �:,g'; Commission +: HH 05635?
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Revised 1 I /l6l2016 3ocded through Nations! Notary �ssr.
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SUB- U �6-� OR SIGNATURE (Qualifier)
PRINT NAilIE
COUNTY CERTIFICATION NUilIBER
State of Florida, County of ��(�
The f^(or�(ego���ing�finstrument��was signed�,befo_rle m_erthis�dlu}D' o^f
��4.��+ �p �1, by �[�S�C� I LM. l' 1tI 1 i1
who is personally known �or has produced a
as
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Sig ttt •e of Notary Public • • � G
Print Nume of Notary Public ���r�yyr
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