HomeMy WebLinkAboutGalaxy Air Conditioning Sub Agreementthe
-- --- PLANNING & DEVELOPMENT SERVICES
(Type of Trade)
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-A1 Y Cbr -t y tan 11) (
For the project located at
Name)
have agreed to be
Sub -contractor for = vo Q C= 1 C�� 5
(Primar�Contractor)
10 ult S V _V�
(Project Street Address or Property
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.
SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Fiefda, County of btu"
bh i
The foregoing Instrument was signed before me this 3- day of
by �Cnyg ZVy�ca��o
SUB -CONTRACTOR SIGNATURE (Qualiiier)
cz s,e i �, 3-e,,, ,r,
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1;,
The foregoing instrument was signed before me this ( day of
/16'y. ,20� ,�by
who Is personally (mown _or has produced a 1 o t i..rC �ILt 1vR who is personally known or
as Identification.
111111////
as Identification.
49
yp Notary public State of Florida
Deshun K Harris
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I A L S��i; .
My Commission
or
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Sigaet re of Notary P+titifr ' 1 1
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� K A R E N NI U R P H Y
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EX 8 812023TAMP
Signature of Notary Public
_
NOTARY PUBLIC
=STATE OF OHIO
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Print Name of Notairly Pu !;o + ':
Comm. Expires
Print Name of Notary Public
08-30-2025
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Rcviscd 111l6l2016