HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
FEB 2 4 ZP22
g%,,Neie County
Fermi>tiR9
have agreed to be
(Company Name/Individual Name)
theIL
Sub -contractor Sub -contractor for
(Type of Trade) (Primary ontractor)
For the project located at
C-1
ISY T- :�- d iR i) R: V e. r- 1) V e,
(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 -contractor notice.
e4 !�,C_.)51336Z:�
COUNTY CERTIFICATION NUMBER
State of Florida, County of 15 • • (_0_
The foregoing instrument was signed before me this Z3 ad'y of
20ZLby ��al~n L. �J�-Dr�14e-
who is personally (mown L4rf'6as produced a
asiden .ca•on.
SUB-CC&MACTOR SIGNATURE (Qualifier)
PRINT �ME
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COUNTY CIER CATION NUMBER
t
State of Florida, County of 1Gv
The foregoing instrument was signed before me MUM! ! day of
' 2OU by(Xv 1-�k xPi
who is personally known )C or has produced a
as identification.
STAMP 19STAMP
S1 re of Notary Public afore otNotary Pu lic
a,
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,
Print Name of Notary Public Print Name of Notary Public
• Q<�,p:Y F�j^•,• DARCI E. IVEY EeiN y Public State of Florida
Notary Public State of Floridaelle Zimmerman
Commission # HH 033067 Commission
H 167796My comm. Expires Aug 25, 2024 p, 9/9/2026
Revised 1111612016 �•��Bonded through National Notary Assn.