HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
COUNTY
F
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`44X41AW) 5 /C, �./ �7 have agreed to be
(Company Name/Individual Name)
the eLFCTe_/af t✓ Sub -contractor for EIA H/ GO -';Fr i
(Type of Trade) (Primary Contractor)
For the project located at _/eSaS S
(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
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of M 4 P7 1/1
The foregoing instrument was signed before me this 11 day of
FC.0AU40 ,201�by Ao Qlal
who is personally known or has produced a �� Z4 cE/t SL'
as identification.
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Signature of Notary Public
A'd' ,fir 14-1, /�/Cc=
Print Name of Notary Public
Revised 11/16/2016
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of P14,1 f
ill
The foregoing instrument was signed before me this /v day of
FEJ32G/tny ,2012.,by fi 6a &A r �ALAIC
who is personally known ✓or has produced a'04. Z/ CE/-ri,
as identification.
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L_0� !/"lam
5ig6aturc of Notary Public
Print Name Name of Notary Public
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