HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - ROOFI
the
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d �� 6�7
ISSUE DATE
of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St Lupin CmMy
2a "C, have agreed to be
69110&
Sub -contractor for T -awni aa—.5/ �!;`�`I1°llj'�
(Primary Contractor)
AleFor the rcject located at 37J� 5epew /�//' _e' �� n
(Project Street Address or Property Tax ID #)
It is undl rstood that, if there is any change of status regarding our participation with the above mentioned
project, ;he Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing ofj',a Change of Sub -contractor notice.
CONTRAC OR SIGNATURE (Qualifier)
06�,� b(lbPalon
COUNTY JJERTIFICATION NUMBER
State of Flda, County of L
The for egoi instrument was signed before me this 2 day of
(w 201Q by 1_Q 'jJ;,�
who is personally known _or has produced a �)
SUB -CONTRACTOR SIGNATURE (Qualifier)
016/210 'W�e'4n
PRINT NAME
_;/®< 0
COUNTY CERTIFICATION NUMBER
State of Florida, County off C—
f(The foregoing instrument was signed ,before me this � day of
1 L�Clti cS� ,202jQby OyZ n
who is personally known _or has produced a U,
as wentitication. as identification.
0 t �4 '.
STAMP STAMP
Signature f otary P6blic Signature of Notary P66lic
1 e-rN e.A_W CGILe_.e_'
Print Name NotaryPublic U Print Name of Notary Public
�, Notary Public State of Florida
Notary Public State of Florida Colleen Sue Hayes
Colleen Sue Hayes h My Commission GG 287729
7� g My'Commission GG 287729 No, n Expires 0311512023
Revised 11/1 12016 "'+p,,dr Expires 03/15I2023
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