HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT OU/11V
SUB -CONTRACTOR AGREEMENT 5t V
YED
00074,
have agreed to be
Sub -contractor for w a xT Le I I e,
(Primary Contractor)
or Property Tax
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 SIGNAT (Qualifier)
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PRINT NAME T
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before
me this day of
who is personally known _Kor has produced a
as Identification.
.l1lf STAMP
Sigoatur Lary Pub'
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Pr1nt Name o Notaryb
Revised 11/16/2016
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COUNTY CERTIFICATION NUMBER
I
State of Florida, County ofC�'�• G�
The foregoing instrument was signed before me this 3 1
day of
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who is personally known X or has produced a
aside cation.
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S� of Notary Public
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Print Name of Notary Public
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