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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTFrom: Richard Newland Fax: (772) 464-4329 To: St Lucie Inspections Fax: (772) 462-6443 Pf 2 10112/2017 10:42 AM 1 PERMIT# `� ,�y, ti O 5-3 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Comp ny Na /individual ]Name) the 4 (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT L- -- have agreed to be Sub -contractor for _ a-,( (4 eS b f' t •� (Primary Contraior) ,t 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 C /Sa:zor°1 U DUNTY CERTIFICATION NUIiIBER State of Florida. County of ' The foregoing instrument was signed before me this /J• ay of Zol7by ob ee 1s.�Pr who is personalty known -or has produced (-,&' • A `C as identification. _ A C6,1, � Print Name of Notary Public =PA c'YB.HUMPH9EYRevised 1111612016 JISSION # FF 174772S: March 6, 2019Notary Public Underwriters ONTRkCTOR SIGNATURE (Qualifier) PRl NAME COUNTY CERTIFICATION NUMBER State of Tlorida, County of The foregoing instrument was signed before me. th gis 1I "fly of (.' a 1-e 2U� ©©j �g'vo4 by 4._ , who iBpi s or lras prodpced.a},...>........ ....... AatiOR. .�],�i}rs`4} i yJ 'i 8 700 -.1),s�YC i/ �� !!�-�� /�•-/ .� ., t ' ,::t+,x= ,,; ; , r `nj7f n�r?F ace Signature ofN tao�ryPPh rc Print Name of Notary Public