HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi
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[PERMIT # Q
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES SC BYE
Building & Code Compliance Division St. Lucie Cow*
BUILDING PERMIT FAUG
EIVED
SUB -CONTRACTOR AGREEMENT
r03
.ucie County, Permitting
�� LE'55 vq ,- have agreed to be
(Company Name/Individual Name)
the _ �(y C�21 LC. L_ Sub -contractor for •2(L_ �J
(Type of Trade) ��ri1(Primary. Contra or) (�
For I� t e project located at l' �\ DOT* � b, y JC-le—
(Project Street Address or Property Tax ID #)
It is
prof
filir
that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
f a Change of Sub -contractor notice.
SIGNATURE (Qualifier)
PRINT'I AME
$wv�e�bu.�aQf
COUNI CERTIFICATION NUMBER
State of lorida, County of 5*,uv C t r-
The foregoing instrument was signed before me this ,5 day of
d. Od j 2� by K, Itti
who is p iIonally known _or has produced a L' L
as identification.
DEANNAMARIE GNENS
23
Y COMML�1 GG 0220
of Notary Pubtle Xp►RFS.. December 10, 2020
NotarypublleUndenvm
sandedTrill
to of Notary Public
Revised llt/16/2016
SU RACTOR SIGNATURE (Qualifier)
C_Le,/-�. Q J e- -I & e,:,)
PRINT NAME
COUNTY CERTIFICATION NUMBER
A
State of Florida, County of b 1' I adTl`n
The foregoing instrument was signed before me this / day of
20A by rdvrsFoT Russe 11 Ri-AIAL av
who is personally known or has produced a 2
s identifi P53D _ lite _71 - xi
-
GG 101�
Fnaatt f/Nota Public
�J y� �" N°tC0mm'5S` oae5t°75
of Notary Public