HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# A f J '} / (1) ( ''] ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
• Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Cilave agreed to be
(Company Name/Individual Name) .�
the c- Sub -contractor for <�;CG i LC Lfyyx Yls -
(Type of Trade) (Primary Contractor)
For the project located at����[� (l lctq �
(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 and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contracor notice.
(Qualifier)
r
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PRINT NAME
L 11�1
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this iD' day of
_1J 01 1/i • , 2o2_2,.hy 7 2
�, ,-, S
who is personally known )or has produced a
as identification.
y' ry STA
Signature of Notary VubiyvF
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Print ame of Notary Public o
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Revised I1116/2016
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SUB-CONTRACTOR SIGNATURE (Qu er)
PRINT NAME
c2€-4, 0 �7 01
COUNTY CERTIFICATION NUMBER
State of Florida, County of
Thelforegoing instrument was signed before me this IL ' dayof
, Llag(tp
who is personally known )(or has produced a
as id ilication.
STAMP
Sig ture of Notary. ' ii-c-~�
Vi� C •t,;%1r Print Name Name of Notary Public A
aAr
N* III