HomeMy WebLinkAboutsub contractorPERMIT # ISSUE DATE
COUNTY
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O R I D A --
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PI kN*NING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR:\ ;REE.N1EN"1'
(Companc NameIndividual Nome) —
the VD —e(ib Sub -contractor for
(Typo of Trade) (Primary Contractor)
For the project located at
(Prgjeel Street Address or Property Tax ID u)
have agreed to be
It is understood that, if there is any change of status regarding our participation \\ith the above mentioned
project. the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing ol'a Change of Sub -contractor notice.
COSTIL R SIGNATURE(Qualifcr)
1ST KA91 t:
COLNTYCERTIFIt'l'Ilo, "1 I1W k
Statc of Vhwld:l, Omw, ul Hav-4nn
*1n'hc,,f.. gpdnb ng in,frim nl as aigncd before
me 16i, I 1 da)' of
,, ha f-, Pennon lly koo..n ✓ ,1r hus produced a
as
Signature of Sntan Public
Print \an • of. Milan Public $
Itevmed 11 It, 2016
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PRIM" 1' NAME
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COUNTY CEIr11 FICA'fION SUAI Itt:R
X 1;11c of Florida, l'ounls' of _V�✓�1'l
ftf°pr�d{;ninginstrrumenl was xigncA Irefnn• nm this 2 d:1\' of
-beck 10' .?II %/l, h, Sb1 y-o"hG)�ILI
,, ho is Pcr.nmdl., known I//nr has Produced a
as idrmifi'miun.
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