HomeMy WebLinkAboutSubcontractor (1) PERMIT# ISSUE DATE
PLANNING& dDF,-VELOPYAlT SERVICES
-� Building& Code Compliance Division
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BUILDING PERMIT k A U G 24 L 021
SUB-CONTRACTOR AGREEAYENd' 1
ST. Lucie County, Permitting
6 j / YJ /U J have agreed.to be
(Company Nameiludivid Name)
the l am bir1: Sub-contractor for
(Type of Trade) {Prtmai y Contractor}
1
For the.project located at , a 'e D '.' '' -utog
(Project Street Kidd ss or Property erty Tax ID
It is understood that,.if there is any change of status regarding our participation with.the aborre:Mentioned
project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
filin of a Change o ub-contractor notice.
RA
TRACTOR S1 NATURE( uali8er) SUS-CONTRACTOR'SIGNATURE(Qualifier)
PRLNT e41E PRINT WILN ;
C Fc rya.'eB 7o
COIJNTX'CERTIFFCA'i'IOI�NUUMBER /e�Q COUNTS'CERTIFICATION NUMBER
State'ofnorida.County of( 1 L�V1 v 9 State'ofFipritla,County.ot *L-e-z�
The foregoing Wdrmtient vas si ned before me this n�day of Thee f�oregMinginstrument-was sinned Ware ink this dut of
yVy1 Nl2L;by
who is persm ally known_or has produced'a-.Y t— �rlio is perso�catts I<upq n' or has produced a .
s
as idciitificAi6n. as identification.
ST,MP ST 'v1P
Signaatt/ure a 4otary public Signature of Notary-Public/
iJ w G 1 e,--.OFF F 6-C^-'—t A—
rintNameorNotan btie Print Natne.ofNotary'Public ``1l�'
�' Fro•..;1 .�
po I,FtY3t, i•.
*,%,WI—KVI Ashley Jones SNOTARY PUBLICRevised I111<<r01GSTATE OF FLORIDA
Comm#GG969944
Expires 3/16/2024 t,°
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