HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE
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COUNTY
F 1 O P.1 D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ,_
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ® C T ® 4. 20
012 1
ST. Lucie County, permitting
6lJ L L t: C3 2 CA5 [tz � C E , L L ( lf)ghie) Vq 4r � have agreed to be
(Company Name/Individual Name)
the E) C 4� }r l tG C Sub -contractor for EvPUT Co fy 5fi2V C�' 1 D/�/ /1� /�� RS �/�C
(Type of Trade) (Primary Contractor)
For the project located at 12Go
(Project Street Address or
�- 34 qqo
)erWrax ID #)
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.
CONTRACTOR SIGNATURE (Qualifier)
WILL1ktt L (900UN .St
PRINT NAME
COUNTY CERTIFICATION NUMBER State of Florida, County of &%Z-3 b 6 rlo&fo it
The foregoing instrument was signed before me this day of
v C - , 20�",�, by k 111,4yJv
who is personally knownzor has produced a
as identification.
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Signature of Notary Public
Can G no
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Print Name of Notary Public g� _
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Revised 11/16/2016 .�
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CONT CTOR SIG ATU (Qualifier)
PRIN NAME
3600.53
COUNTY CERTIFICATION NUMBER
State of Florida, County of _ram„ '6 ev'
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The foregoing instrument was signed before /me this Lday of
S e , 202 I , by
who is personally known A or has produced a
as identification.
Signature of Notary Public
01, a,e -p n c J e o
Print Name o No ry Public
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