HomeMy WebLinkAboutSubcontractor Agreement i
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
j Building & Code Compliance Division
* BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT j
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have agreed to be
(Com any Name/Individual Name)
the 09 (C "- 1P-,1 CAL— Sub-contractor for �
(Type of Trade) (Primary Contractor)
For the project located at ��,sr�, ( 0✓le— Pt e re L CL g4 G S 1
(Project Street Addressor 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
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filing of a Change of Sub-contractor notice.
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CONTRACTO G TURE(Qualifier) SUB-CONTRA OR SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County ofJq_ j State of Florida,County of
—)_�
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he foregoing
instrument was signed before me this day of The foregoing instrument was signed before me this—=l day of
201% 20� ,by
who is personally known,or has produced a th
personally!mown_or hall produced a
as identification. as identification. i
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na ure of o ublic U gaature of Not Public U
Print Name of No ly
Pub Print Name of Notav Public
AUDREY B.HUMPHREY �a.. a.
fi^"•r°�o�c � ��o•••'•'.'�,''. AUDREYB.HUMPHREY
Y ' MY COMMISSION#FF 174772 *• MY COr&QSSION#FF 174772
o= EXPIRES:March 6,2019 .�C�4? EXPIRES:March 6,2019
Revised 11/16/2016 ? 8ortded Thru Notary Public Underwriters
a ''p k°.• Bonded Thru Notary public Unde writers
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