HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING, I& DEVELOPMENT SERVICES
Building &Code Complianee Division
# I BUILDING PERMIT
SUET CONTRACTOR AGREEMENT
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(.Company Namd/Indilual Name)
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.(Type of Trade)
For the project located at
(Project
It is understood that, if there is any cl
project, the Building and Code Regul
filing of a Change of "Sub -contractor i
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State of Florida, County of C M /e-
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Theforegoing,lastruntent. wassigned before methlsr
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who is personally karowkk—or has. produced a _
as identification,
SigdaWre ofNo-WryPubM—
Prinl+Nauk of Notary:Public
Revised 11/1612016
have agreed to be.
Sub -contractor for f G� GI �✓�
(Primary Contractor)
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or Property Tex ID #)
of status regarding our participation with the above mentioned
Division of St. Lucie County will be advised pursuant -to the
dayof
STAMP
`�.•`4,jiY PV
APRIL RENEE CA
Notary Public -State ofFlorida'
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I Commission# GG 121631
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tiodey Comm. Expires Jul 20.2021
Bd thrcuO l aficral Notary Assr.
CONTRACTOR SIG (Qualifier)
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PRINT NAME
COUNTY"CERTMCATION ER
State of Florida, County. of _T7A/V A
The forgoing instrument was signed before e this ay of
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who is personally lmown _pr has produced a _EL X
as idendfiratioq. _ p,.
STAMP
Signs a of Notary Public
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Print NaruebfNotary Public CAM LAWRENCE RADA
c NOTARY PUBLIC
o STATE of FLORIDA
Comm# FF175390
ExPirs 11/11/2019
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