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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT0 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENTAW N BY St Lucie Could �u L ACA Prl i have agreed to be (Company ,��Name``/Itidi�i'dU—dI�ame) yc the4-0 F i tv Sub -contractor for ��L. XN f)N (Type of Trade) (Primary Contractor) For the project located at 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. C©1T CTOR<SIGNA=TiLTREz(Qualifi�r�} )&w-� / PRINT NAME COUNTY CERTIFICATION NUMBER/ State of Florida; County of . L.�.G% C The foregoing instrument was signed before me this day of 20�by � U�[ h r) who is personal own ar has produced a as identification. f Signature of Notary Pub Print Name of o ary ublic 4Y ��; AUDREYB.HUMPHREY *: *= MY COMMISSION # FF 174772 Revised 11/16/2016 ; a EXPIRES: March 6, 2019 %8f„f. •, Bonded Thru Notary Public Underwr ters ,�SIdB=CCSN`f•RA�GTi(jR1SI � Nt';Q'tiiREi(Qfialifier) PRIn. NAMED COUVTY CERTIFICATION NUMBER State of Florida, County of_x4) U0_ The foregoing instrument was signed before me this__?- day of 20& by� 1 h n - who is personally own or has produced a as identification. &"j4k O STAMP Signature of Nota Public Print Name of Nola Public AUDREY B. HUMPHREY MY COMMISSION # FF 174772 a ,•o�= EXPIRES: March 6, 2019 'l pf t4 Bonded Thru Notary POW Underwriters