HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS0512412018 0823 W&I
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ISSUE! DATE
PLANNING & MVELOPMENT SE
S• " �� Building &Code Compliance Di
1iUII.t1rNG PERMIT
sUR.CONIRACTOR AGREEMENT'
the
For the project located
Sub -contractor for
FEB 2 6 2019
ST. Lucie
BY
St. Lucie Coynty
have agreed to be
It is unders000d that, if there is any change of statue regarding our par icipatieu 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.
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_ Commissfon#rG187160
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PERMIT# T
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
= Building & Code Compliance Division
® BUILDING PERMIT RECEIVED
ENV SUB -CONTRACTOR AGREEMENT
FEB 2 6 "019
ST. Lucie County, Permitting
have agreed to be
(C mgany, Name/Individual Name)
the (�L//1i /3 /� Gj Sub -contractor for o L/�e.? NO S
(Type of Trade) (Primary Contractor)
For the project located at
Street
ID
SCANNED
St. LucietCounty
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
filing of a Change of Sub -contractor notice.
G� /Z-z' i
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
SU /
COUNTY CERTIFICATION NUMBER
State of Florida, County ofL1 44j Z-4--9�
Thef regoing instrumenttwas s efore me this da of 1
. 20/_(by
who is pers ally kno n or has produced a
as a 'scat n.
STAMP
Sign tune of Notary P
---Print Name of Notary Public
?otrRY?�e4� SHERRI FEHLMAN
Commission R GG 187160
e Expires Match 14, 2022
�~ Revised 11/162016 o @ DwAodninli Epelticls W50%
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
Ls -to q,
State of Florida, County qQ
Thef egoinginstrumentvms sr efore me this_ day of
��j'
who is personally know or has produced a
as id ti6cat Wf
of Notary
Print Name of NotaryPublic
�oe4o
SHERRI.FEHLMM
=o1Ni;
CommiWon N GG 187160
Expires March 14, 2022
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