HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# — ISSUE DATE
FLANI�TW'G & DEVELOPV MNT -s tVYCES
Building & Code•Coimtpliance D> riision
)i W. •LDING PERMIT
SUS -CONTRACTOR AGREEMENT
1 � er• rr 1 t. �' e- have agreed to be
(Co parry Name/Individual Name)
the lecr,r, r , z / Sub -contractor for W V r? n t A e& t- /a '
(Type of Tirade) r �o
. (Primary`.. Contractor)
For the,project located at I � \J
(Project Street Addb
f\ e-o"c-
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.
CONTRACTOR SIGNATURE .,.
(Qualifier)
PRINT NAME
G.. �
COUNTY CEIMT ICATION.NUMMR
State of Florida; County of
The foregoing instrument was signed before me thisv ay of
who is personally known �Kor bas produced a
as Identification.
O R:4CTOR SYGNATURE (Qualifier)
PRINT NAME
�i/V2
COUNTY CERTIMUTION NUMBER
State of Florida, County of ] e s c . t
The foregoing instrument was siggned� before me tbis)3Aday of
�.trL (, 20q by
who is personally Imown _V_or has produced a
as identification.
r E�u� i,e'( ,r. r � STAMP STAMP
Signature of Notary Public *Sature ofNotary Pahlic
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Print Name ofNolary'Pnblic Print Name of NotaryPublic
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PERMIT* ISSUE DATE
l7rVVEL PMENT"SM-VICES
• • ..$iDYi�Tl PFi�1VI>,3'•
Si%�- ONTItA `O AGREtWNT
CoiefOr 02. Eirol o'f S.t. 'Lucie Caunty, 111C.. havt3agceedt 'be
(CompaitE�Nan3eltadivi�iaTN�iiae) .
tll�e l TAC Daub-a6mk etor-for wymme Da;v.e.lo _meat Corp.
(Type Ofiyme) (Pritjiai3r'Cot►t�'sator)
For the projeet located at
(Frojeol t a or erty Tax ID*)
It -is tutderstood :that, -if there is any chango•of status: regarding out pardoipation'with the above mentioned . -
-project; the Buildhig'and Code Regalatibli MUM of St. Lucie County will be advised pursuant to the
Piling of •a Change of Sob-cdntractor •notice.
CO1V'x•]VZACTOR SIGNATURE (ofiiff iel•).
-1 uthem L'ile Wyitne --
PRWWAM
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COUNTY CERTMCATION 1RCJ
State ormorfda, a mty of ST. c 0-
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who is parSDRAY MOWA Zer hispa damn a • ,
as f8ettlsiieatiou.
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MY COMMISSION # GG 030145
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COUN"Ni'' CERTUMATION NUMBER
State of Florida, Cmuly of s� eci
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