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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSt. Lurie Own* PERMIT # p©� ' D ISSUE DATE _� s PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) he f f r - /, -'C-.— Sub -contractor for (Type of Trade) (Primary Contractor) the project located at f 3 3 cl e") (Project- Street Address or Property Tax ID #) is understood that, if there is any change of status regarding our participation with the above mentioned oject, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the of a Change of Sub -contractor notice. NTY CERTIFICATION�NUMBE—R- t of Florida, County of 7 ,-. foregoing Instrument was signed before me this S— day of kCkDEN— 20_M by Q t' is personally lrnown?0 or has produced a Identification. State of Florida -Notary Fuon Commission # GG 190324 My commission Expires February 26, 2022 11/1612016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME 6FC' / 3 0,-�y --Z 73� COUNTY CERTIFICATION MBER State of Florida, County of C T e fo going instrument was signed before me this day of 20�, by Y who is personally known _or has produced a as identiG lion. r STAM1 STAMP Signature of Notary Pubiie KAREN S. NIELSEN Print Name ofNotnry ._ c �- NotaryPubllC 8 Commission # GG 207484 My Commission Expires June 12, 2022