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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSGANNEU PERMIT # I ISSUE DATE - - - PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUiILDING PERMIT SUB -CONTRACTOR AGREEMENT ' ,Ldll��.•J (C ' m ny Name/Individua1 Name) the/%%7�ij (Type of Trade) For the project located at q -73 8 (Project Street Address It is understood that, if there is any change of RECEIVED MAR 2 0 2018 ST, have agreed to be for Z Q u��� ALO (Primary Contractor) 10, ��/ L) (-r-z— Property Tax ID #) 141 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. CONVACTORUR&(Qualifier) PRINT NAME COUNTY CERTIFICATION State of Florida, County of L he����fJo�regoing instrument was before me thi-sy /— day of 114 T— Z , 2o/ %� 1�rt who is personally known has produced a as id ntifi ion. a W/ STAMP Si ure of Notary Pu Print Name of Notary Public 2osPR �Pue�% SHERRI FEHLMAN commission # GG 187160 m 4,e Expires March 14, 2022 �i�rof��,gQ' sondodrnn+BubpMtlotN'�0° Revised 11116/2016 I /../ A- /-O� SUB -CONTRACTOR SIGNATURE (Qualifier) 4,23 6:�l - " C'd �J PRINT NAME S-d q1 COUNTY CERTIFICATION NUMBER �J State of Florida, County of The foregoing instrument was sign before me this � day of �/ WS, by �` who is personally known _or has produced a aSigtureofNot tion. STAMP ary zU2Z___ I Print Name of Notary Public o�rRr Pue�, SHERRI FEHLMAN Commission # GG 187160 e Expires Match 14, 2022 H of pyo�� Bonded rnru Budget NotarySeWIM