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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTi501—©r)-Q PERMIT# ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES 5 Building & Code Compliance Division. SCANNED BUILDING PERMIT BY SUB-CONTRACTORAGREEMENTSt. Lucie County St. Lucie County Contractor Certification Number: A 1c ( 0 -o5 I State of Florida Certification Numberpfapplicabic): ESIApc(2�6-74 have agreed to be the (Company Name/Individual Name) I Sub-contractor for C�2Ti('IP� to JCe �-r,r— (Type o rade) eri-iFt e� (Primary Contractor) For the project located at N (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 i 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 Business Name: \�Ri•i F IP� % i�`QNCtGIQ J- t� Address: 51-7 MCI 9 p OwerLLU OI City/State/ : /nj�� \teaona { erae4, FL Sa (l l Phone • �y-o258-A-7u � email: cAtw-f�S QI4�LOL, C0M x Chftf;�tm L. t &a,l SIGNATURE Vol'INT NAME DATE V STATE OF FLORIDA, COUNTY OF tfa THE FOREGOING INSTRUMENT WAS SIGNEDBEFOREME THIS � DAY OF �20 1-9 / BY l i f files Qftm eia'C" WHO IS PERSONALL V KNOWN 1/ OR HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 Syr Notary Pubno Stale 0 Florida 14 0 EE 8551z�so0n W or nE P�oa 11Ra