HomeMy WebLinkAboutSUB-CONTRACTOR AGRREMENT0
PERMIT
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ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Buid��g � �vd� Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co NametIndivjduai Natne)._)
the � Sub -contractor for Franca Construction Inc
(Type of Trade) (Primary Conti -actor)
For flie pr��ect located at 9500 s.acean dr. Unti 407 Jensen Beach, FL 34957
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above memianed
41
project., the Building and bode Regulation Division of St. Lucie County will be advised ptzrsuant to the
filing of a Change of Sub -contractor nonce.
�Y.
LL. f
y
CONTRACTOR SIGNATURE (Qualifier)
/
PRINT NAME
PSI �Y) 6
COUNTY CERTIFICATION NUMBER
s
State of Florida, County of �. k
The foreqp1ing instrument was signed before me this day of
20 b
,%v o is personally known 4i7mr Las Produced a
is id ntif catiO no
Sign*r_e of Notary Public
Print Name Gf Notary Public
Revised H/ 201
11
Vyt•€
TAMP
SUB -CONTRACTOR IGNATURE (Qualifier)
PRINK' NAME
AME
185� t
COUNTY CERTIFICATION NUMBER
State of Florida, County o
,A
The
foregoing in. trti ment w signed befbi-e ripe fig � ��
. N >M 0)JL bff-1 '4�a(
by7
w h o i s ��. q l I kn oiv� _ r has p roduce d a
Signatu
Print dame of 4 N=fy Public
CState of Florida COmr HH031595
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I gj�$ Exo1res 1218/2024
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