HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - PLUMBING7111ui�_Ow7
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ISSUE DATE
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k firPhave agreed to be ild h VC
(Company Narqc/1ndiV1:du,41 Name)
the I Sub -contractor for,
(Type of T4adc) (Primary actor
Ctor)
.
For the project I ocated at 2-0,
(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.
411
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RE (Qualirter)
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COUNTY CERTIFICATION NUMBER
State of Florida, County of
i� foregoing instrument was signed before me this��4 dav of,
r
A.5 by
who is personally known crr has produced a
as wentitic*iott;,-
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SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
I 1) ( I � _J;C�c
COUNTY CERTIFICATION NUM HER
i
State of 11orida, Couny of _L� Lk I
"'da The foregoing instrument was signed before me this -'I i- v of
who is personally known or has produced a
as identification.
1
SSTAMP
I
)fic Signature of Notary Public
T , NcftY Pub of FW&
NO Udiefie Troft
04
VWMATE I'Ant Name of Notary Public %ZT/ WrWiliftsion W I MS04
C GG F-x*m 03107r2M
Expires 10/21/2023