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HomeMy WebLinkAboutSub-Contractor AgreementR E C E I V _c DAUG 092017 s PERMIT # S��t "o5s aJ­�1q ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT l: clkLC_ 11J C_ (Company Name/Individual Name) the C'Ay C Sub -contractor for (Type of Trade) For the project located at L/clZ6 — 5 3© — too Zo — moo , (Project Street Address or Property Tax ID #) have agreed to be INV 6-11oe n1 Contractor) rgY� s'`(W74k) 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 C07VT`1�AyC;TOR`�.S►/I�GNAATUR1 E (Qualifier) Ily llr I�'i(� -V PRINT NAME 2G7ao COUNTY CERTIFICATION NUMBER notice. State of Florida, County of 56N a W 644 The foregoing instrument was signed before me this day of Q -0 all, , 20n, by -C,N % 4 A U� -Vt PS who is as known or has produced a T L J)L b6%11tr-4t. Print Name of Notary Public Revised 11/16/2016 DEANNA MARIE GIVENS MY COMMISSION # GG 022023 EXPIRE oiryger 16.2020 ended Thru o blio Underwrltr 11�am�z RACTOR SIGNATURE (Qualifier) W t, PRINT NAME tfret3o I Uso WME 1 `4- A COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of who is pers� known or has produced a (^ DIANA L. MASON Notary Public - State of Florida My Comm. Expires Sep 2, 2017 Commission # FF 050159 STAMP