HomeMy WebLinkAboutSub-Contractor AgreemnetSep.05.2017 1,0:23
Distinct Design Inc
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PERMIT# ISSUE DATE
l J
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division .
(Co any Name/Individual Name)
the
('Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for i /2,4e _e,X_"
Sri ary Contractor)
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-contrac r notice.
C CfOR S fter) , ,
PRIAT NAME
CG0S�So-- =-
COUNTY C R'I'tFICATION NUMBER
StatcofFlorida, County of...$ '- tumf 4
The foregoing instrument was signed before me thls, '+' day of
who Is personally known ar has produced a .rz. L_
Hs`�den Incadoi,,l�
--tn.�l1/ STAMP
siinalty atNdlary PWM
Q 5
I'rin N I�o"gAVWREW GRASSO
MY COMMISSION # FF99a252
EXPIRES June 1)2, 2020
(407)398,0159 f)orloallovservlmeem
kevised 11/16/2016
SUB-CONTRACPOR SIGNATURE (Qualifier)
PRINT NAME
e� CIS/:3 ��
COUNTY CERTIL CCATIO*r MBER
Statc of blorldH, County of m,
he foregoiug llostrument was signed before me this Cp day of
. 204by
who Is personally known,^or has produced a- I-�L
as identtllcatlon.
I
-- — �-- �� STAMP
Sign ore of Notary Pu lle
Print Nani'eofNotAl t ryPublic
I<APLN S. NIELSEN
fiSp�1 (:un�mi��:�inn li hF 115(j:17
.y� R.Ar "�•f- Y(: qin ii„G:n u,l l-'xlli,
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