HomeMy WebLinkAboutSub-Contractor PermitPERMIT # ISSUE DATE
(Company Nam /Ind
the TA
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
have agreed to be
(Primary Contractor) _
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(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building a C de Regulation Division of St. Lucie County will be advised pursuant to the
filing of a CAI nge o & ontractor notice.
COUNTY CERTIFICATION NUMBER
State of Florida, County of S Ll/f o
The foregoing instrument was signed before me this/ day of
20ZYby
who is personally knowg__'_�has produced a
as identification.
Signur of Notary Public
Tint Name of Kotary Public
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COUNTY CERTIFICATION NUMBER
State of Florida, County of Sl_zlkv"_
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who is personally knower has produced a b L
as identification.
Notary
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PERMIT# ISSUE DATE
(Company Namef nd
the
(Type o rade)
For the project located at
PLANNING & DEVELOPMENT SERVICES•
Building & Code Compliance Division '
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
11� have agreed to be
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Sub -contractor for &Louv
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation
project, the Building and Code Regulation Division of St. Lucie County wi
filing of a Q Inge o Sub -contractor notice. ,_1/.,
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COUNTY CERTIFICATION NUMBER
State of Florida, County of�Q
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who is personally known _or has produced a r L.
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COUNTY CERTIFICATION NUMBER
State of Florida, County ofyN"'
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'/" )r_1LA_ have agreed to be
(Company Name/Individual ameJi
the 1VIYX c (,4 Sub -contractor for
(Type of Trade) (Primary
For the project located at 12 y6Sr .7,4 r"n
(Project Street Address or Property Tax ID #)
It is understood t It, if there is any change of status regarding our participation
project, the ild ng and Code Regulation Division of St. Lucie County ill b
a an of Sub -contractor notice. flli g o '•
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofe?
The foregoing instrument was signed before me thiv—!5(day of
20, by
who is personally known _or has produced a
as identification.
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the above mentioned
advised pursuant to the
SUBvo SIGNATURE (Qualifier)
PRINT NAME m
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed before me this day of
20�
who is personally known or has produced a
as identification.
Signa r of Notary Public
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