HomeMy WebLinkAboutSubcontractor Agreement PERMIT# — 18SUE DATE
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BVILDING PI�RIVIIIT
SUB-C®PITRACT®R AGRE19' NT
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1 �e�•. �, ;t- .� �. ;ihave agreed tobe
(Co pany Name/Individual Name)
the C. leC-T ,z / Sub-coritractor for TJi rl Ae A
(Type of Trade) (Prima6.Contractor) !I
For the,project located at
(Project Street Address or 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
filing of a Change of Sub-contractor notice. j
CONTRACTOR SIGNATURE(Qualifier) O RACTOR SIGNATURE-(Qualifier)
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PRINT NAME PRINT NAME
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COUNTY CERTMICATIONNUIVIBER COUNTY CERTIFICATION NUMBER
State of Florida;County of State of Florida,Coo II ty ofi 2.
The foregoing instrument was s`igpne�d bef�or�e�me thisday of The foregoing instrument was si!g�ned before me th1-Nal day of
20A by I�C�iV�l�e1S�C0 �0 �
who is personally[mown_-Lor has produced a g ;,.;:, who is personaIIy hno I n_or has pr`II duced a
as identification. as identification.
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Signature of Notary Public Signature of Notary Pub lie
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Priest Name of Notary Public Print Name of'Notarq Public • ,
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PERMIT# 1919
UEDATE
DOPMEIT`S� ;VIES
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• S�3'$-�O1�TIiAG°3Y�R AGREial�'X�N1' ;'
Coii+fQr C.ontr•oI -of St. 'Lucie 'Ca�unty, lAc.. ha, agreed'tt>''be
(company NhMegndi%i"Mime)
the H-VAC Sub-Colittiotbr-for Wym a IDe.velo* eat Cora.
(Type of T-mde) (lk iai3►f.�.!ox►tractor)
For the project located at `" \
It is dn&rst66d1hat,if there b my chango'ofstatas:re *din our pax€ioi anon with the Above mentioned.
pxaject;the Buildh g and Code RegWatio i DiVisibn of St.Lucie County will be advised,pursuant to the
ding of a Change of SO-coiitractor-notice. �
CON1Te CTOR S1<MIMTRE(Aria er). '- " IGNA [J E t4u ifiar)
l : ,they L Ie Wynne rinam
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GOUNTV CERTIFICATION NC11 MRR' • COUNP'Y'CER CA"ON NUMBER 1
State ofmwea,coumty of 57-r e 0- State of Fiorift Conaty of S� eci
The foregoing ioatrn�ie atwo'signed before me tki9��Day of The fore oiaE instsv t wss el ged b8f0fre me tFiis�� 'daY of
who is personay known✓r huprOtced a who is�ihongo hnowu�r rise pro iaceaa
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