HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT #
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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have agreed to be
(Company Name/Individual Name)
the r&Ej n-c�_ Sub -contractor for
(Type of Trade) p •
( rlmary Contractor)
For the project located at
(Project Street Address or Property Tax ID
SCANNED
St. Lucie County
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building
filing of a Change of
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Division of St. Lucie County will be advised pursuant to the
[:U1�A N fl 5
State of Florida, County of� V�
The foregoing instrument was signed before me day of
who is personally known ✓ or has produced a
asidentiri tion.
STAMP
Signature of Notary Public
Print Name ofNotaqR20
N S. NIELSEN
lorida•Notary Publicsion # GG 207484mission Expiresne 12, 2022
Revised 11/16/2016
2j J
SUB CONTRACTOR SIGNATURE (Qualifier)
S
17ni vi J SitiUl„
PRINT NAME
30o 7/
COUNTY CERTIFICATION NUMBER
State of Florida, County of :�A 1wa C
Im-
The foregoing instrument was signed before me this of
�p�eV.V7Pv ,2011by t ` o-
who is personally knawa _ur has produced a
as id nlificafioo.
11 ix!'••'�ijK MA DE LA LUZ VELASCO
AO
lure of otary Pub c ' , Novtirttber 28. 2020
Print Name of Nofary Pnbfic
MADE LA LUZ VELASCO
MY COMMISSION # GG050399
EXPIRES November 28, 2020