HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGPERMIT # ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Njame/Individual Name)
the 0 flvw4ft Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project. located at
(Project Street Address or Property Tax ID #)
RECEIVED
MAR 19 2018
ST. woo county, Permitting,
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,'the;Buildilig and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
.TUBE (Qualifier)
KfAuvfS
C fe-, 3no v S'
COUNTY CERTIFICATION NUMBER
State of Florida, County of ?a� rn eoxC )
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of L L" f e—
i
Th`e fooregoing( instrument was signed before me this k9(�day of + The foregoing instrument was signed before me this /%/.S dayof
I 9 )1 C►l� , 20_, by 'Sa na-V & U U S� tl yt 122" l% , 201,& by kQZi (_ /Qh )9,S
who is personally known _or has produced a FLtA L AZI0144 _'[ VQ$6 who is personally known _or has produced a 4
as identification.
STAMP
Si ature of Notary Public n
j`rn .� ' " k"- n -( P�'
Print Name of Notary Public
Fatima Matamoros
Notary Public
Revised 16 State of Florida
My Commission Expires 12/26/2018
Commission No. FF 167544
as identification.
Signature of Notary Publics
Paint Name of Notary
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