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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # �C� O/' _ � C 7 1 � ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RFC,--, ©Fr I . '�@nit i o BUILDING PERMIT — SUB -CONTRACTOR AGREEMENT st t%np _L•�n���,,1r Si LA s . "� / D ISV G LV PU14� ave agreed to be (Company Name/Individual Name) _ the G, C a Sub -contractor for Sfy-N 6 O E L t5LM (C- (Type of Trade) � 5 L A G C-0 pJ T (L A CT o R) (Primary Contractor) For the project located at 30 Q U EC !J C R 7 H C_ (Z 1 nl 4:1 GY , i'7— 1:21 Ekc 6, rL (Project Street Address or Property Tax ID #) 'R__ Q,rnLY "I �- 1 8 06 - aS W z 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. J CONTRACTOR SI ATURE (Qualifier) G U `? 5 , (-) 0 o (Z. E PRINT NAME L-7C i3 CD06 r zz COUNTY CERTIFICATION NUMBER State of Florida, County of JAI 4.1 // The foregoing instrument was signed before me this /2'day of eE 2014by GUY 5- &) D0fZ C who is personally known t,"'or ha8 produced a as identification. AAiF.sta_/l�C/111207/L— STAMP Signature of Notary Public Print Name of Notary Publ" , �9�RPra� WILLIAM SURGEON _ _ A-4 MY COMMISSION # GG 136489 ;;re`• EXPIRES: August 28, 2021 •01WF4°`' Bonded Thru Notary Publlc Underwriters Revised 11/16/2016 S B-CONTRA URE (Qualifier) PRINT NAME C-9ciz5143z,P COUNTY CERTIFICATION NUMBER State of Florida, County of lA�h-/C W°✓L The foregoing instrument was signed before me this -Q day of Zee_. 20/6, by Ply} i /Z1 C k 6l C. r4 S who is personally known Ll� or has produced a as identification. STAMP Signs ure of Notary Public Print Name of Notary Publi ::�9`.• "',t ;: SURGEON MY COMMISSION # GG 136489 EXPIRES: August 28, 2021 Bondod Thru Notary Public Under wrlters