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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# L2107-0115 ISSUE DATE
allull',NNllll titlflt i!Il1PaI191AiIINIh PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ldl�' �t 1� 4r It r ' � ITF:iretsr BUILDING PERMIT
IIII8111111 11 illil!li I;!I!IIIIIIIIfIR�s
SUB -CONTRACTOR AGREEMENT
Lrl C-- have agreed to be
(Cp6mPaq Name/Individual Name) the I 'LG.\, Sub -contractor for Paul Jauin &Sons, Inc
(Type of Trade) (Primary Contractor)
For the project located at 5701 Environment Dr, Ft Pierce, FL 34981
(Project Street Address or Property Tax 1D #)
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 a Change of Sub -contractor notice.
VV()
CONTRACTOR ,9 G URE (Qualifier)
Michael Jacqum
l%40 3
COUNTY CERTIFICATION NUMBER
State of Florida, County of Si� �QQ
The foregoing instrument was signed before me this "day of
psi .204, by
who is personally knownor has produced a
1as/iid/e�/ntiification /� ry� ��
V IM A . (_I IY/l-A—AD STAMP
Signature or Notary Public
�4aud-le 1 )ayIS
Print Name of Notary Public
Rig
Stale dvbioa HM 062026
Revised 11/16/2016
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i
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COUNTY CERTIFICATIO NUMBE
State or Florida, County of u-
170
The foregoing instrument was signed before me this _A& day a(
,20JJ,by C
who is personally known or has produced a
as ideal atim,.
STAMP
Slgnamreo Notary Pnblic
�51.I.. It BARBARA0 MOLINE
IAS"k - Commission#GG166267
Print Name of Notary Public "'al
F,< EzpiresApd17,2022
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