HomeMy WebLinkAboutSUBCONTRACTORS AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
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(Type of Trade)
For the project located ak.Y2
Building & Code Compliance Division SCANNED
RECEIVED BY
BUILDING PERMIT St. Lucie county
SUB -CONTRACTOR AGREI MENTJUN 17 2019
ST, LUCI@ C®Unty, Permitting
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have agreed to be
Sub -contractor for z t� unelexq �00 /s
(Primary Contractor)
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
filing of a Change of Sub -contractor notice.
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CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this I— day
of
has produced a
as
SUB -CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
02 9Vss
COUNTY CERTIFICATION NUMBER
State State of Florida, County ofs�, ,
The
/foregoing
�instrument was signed before me this day of
who is —personally Immvn _kar has produced a
STAMP
Print Name of Notary Public
Print Name of Notary Public
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SHERRnlIrIG187
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SHERRIFEH
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Commission# GG 187160
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Expires 187160
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14.2022F
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Revised 11116/2016 °?,r� P�
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05124/2018 0323E
n I ISSUE DATE
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SC`-Ed9lf11Gi?I.
PLANNING & DEVELOPMENT SERVICE ��
Building & Code Compliance Division
$' BY
County
9U1L111NG PEltlVnT
RECEIVED
SUXCONTMCTOAAMEMMT JUN 17 psg
T, LUcfe CCunty, formIttfno
have agreed to be
the
For the project located at
It is understood that, if there is any change of statue 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.
collPmAcrolt KONATURB(quelfiml
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p NAME
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COUNTY CERT�rCA7rU��tlrai��
Rfsfe ofFlmld6 CEYIl�'afi YT/
t�yy pye` SHERRI FEHLMAN
=o;••••. c Commission#GG 187160
i=xPires March 14, 2022
Revised llrlarLal6rgrEOF�opo aanleATlw auE9elNata7
cOUNTYCE.nF1cAT10N ER
akkofFlorldo.countyof 6.0— 3
S'f;AMP
pr1�K ame of Notes Pu6ac '
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a°�Y"•°B�� SHERRIFEHLMAH
Commission # GG 187160
Expires March 14, 2022
OF Ft Omod T n awm NOhry 311k.