HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPI_A-*INING & DEVELOPMENT SVRVICES
Wilding & Code Compliance 1, -sion
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St LuCiP Counh,
St. Lucie County Contractor Certification Number. a.F4519%
State of Florida Certification Number (if appiicabie): 67C 042 LU 7,2 ,�—
Name)
have agreed to be the
sub -contractor for Sus„ me r I is s Meter ne Con frucfiey
(Type of Trade) (Primary Contractor)
for }he project located at
r " °c °� z7scfz2E:
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 QUALDUR
(Name ofthe Individual shown on the Contractor's License)
T
NOTARIZED SIGNATURES ARE REQUIRED
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Business Name: All RgFe
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Address: �,( fro
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City/State/Zip: �OY / �;Gr'ce/
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Phone:
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email: �j�has �if iiohT oO. Gpirr
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PRINTNAME
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STATE OF FLORIDA, COUNTY OFJ
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS -A DAY OF a 20 4�r-
BI' / m ✓ WHO IS PERSONALLY KNOWN OR HAS P61DUCED
(STAMP)
PRINT NA11 OF NOTARY PUBLIC
` AUBREYB.HUMPHREY
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+_ r_ 6,2019 MY COMMISSION
OFFICE USE ONLY: %.., a= EXPIRES: March 2019