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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # T ISSUE DATE PLANNING & DEVELOPMENT SERVICES Emma Building & Code Compliance Division SCANN1161911 0 ED BUILDING PERMIT BY SUB-CONTRACTORAGREEMENT St- Lucie County St. Lucie County Contractor Certification Number: State of Florida Certification Number (if appscabie): _ i�! 9,9 © d For the project located at 1.�a 55 -f (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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS, DAY OF 1 ,NO- b'C 20 WHO IS PE OR HAS IDENTIFICATION. D D c/ . ` Al L l " (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 �J Y° � Notary Public Stet. of Florida Tracie L Lamb EE 1594MypOmDsor 0Cm25216