HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTZ
PERMIT # r ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED U"INGPERMIT
0 C T 3 0 2 0 1 r-cl N11T1 AGREEMENT
ST. Lucie County, Permitting
have agreed to be
(Company Name/Indi dual Name)
the �� 66C71P-10�4 ( Sub -contractor for - C-AY-"—�7A2 A06-S- o, �,Y)iRiS� .PJII J�
(Type of Trade) (Primary Contractor)
For the project located at _;:57�20
(Project Street Address or Property Tax ID #)
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
I
filing of a Change of Sub -contractor notice.
CONTRA
i SIGNATURE (Qualifier)
Motd J
PRINTNAME
COUNT'MERTIFICATION NUMBER
State of Florida, County of s f LVW—
The foregoing instrument was signed before me this day of
30 1 �y
who is personal"t wn6r has produced :►
as:aennuca n,
STAMP
Signature of N airy Public
Print Namc of Notary Public
I
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SUB-CONTRACTO SIGNATURE (Qualifier)
A --01JR
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this C/ day of
20 Eby
who is personally known "or has produced a
as identification.
Signature of Notary Public
C. VIRG��ii
C.
STAMP
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