HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTF�RMIT# ISSUEDATE
PLANNING & DEVELOPMENT 'SERVICES
= Building & Code Compliance .Division RECEIVED
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By
have agreed to be
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Sub -contractor for
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For the project located at
(Project Strec: Addre� s)or Property'I'ax ID tA)
tt is understood that; if there is any chance of status regarding OUT 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.
CO\TRACiOR SIG,INATURF. (Qualifier)
PRINT SAME
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COUNTY CERTIFICA110N tit UIER
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Slate dfFlorlda, Canty of �Yt1 X-t tte—r
'rhe furegoing ittstrutneat was siggned� be rare
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has produced a
SUB -CONTRACTOR SIGNATURE (Quatirior)
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PRINT NWME
COUNTY CL•'RTIF1CATLON NU-019FIt
Stutz• of Florida, County of I 2 C tits
•rhe foreoohtg instrument wax 51-gned before me this _JJ Ida} or
5 t( 20_Ub/y om &. L lid �t1Y1
who is perstmelfy known ^or has produced a
astidentificallon, asIdpentificattun.
° STANIP �,,STAMP
Si�,narure of NutaryPublir 5ignVure &�;
Of Natnry Public tUCLAA-L-n
Prin me of Notury Public
Print``nmc of ofary Public
ruldhy Allen Brooks * Notary Public State of Florida
NOTARY PUBLIC April Newman
STATE OF FLORIDA My GG 229f 10
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