HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTy-�3-k. Fw_wP
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PLANNING & DEVELOPMENT SERVICES ---
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DEC 21 2017
PERM1171NG
St. Lucie County, FL
have agreed to be
(Company Na»/lmlMduat Name)
the Yi (e C rizeL Sub -contractor for s I G A)
(Type of Trade) (Primary Contractor)
Building & Code Compliance Division -
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
6GANMEO
BY
ar cie County
For the project located at i6�1 - ('r;rv,4 Vji 4-r. fj1vj
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE rQw Wer)
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PRI*rr NAttIE
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dDUNTT CERTIFTCATI NWNUMBER
Stare of Florida, County of S} Luile '7
The for ra nm wmt tia4Aww befom me thb 2'7( dayof
I C. ,2ollby,FL-1y6 rJRt/bQC{i
who Is persorratty ffiomm If or ka prodmccd a
as i natdne noa
_ STAMP
are of Notary oh
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hint name of Notary Arb9c
SR O`R SIGNATURE (Qaatinea)
J
PRlri T NAME
A Tory
COUNIT CERTIFICATION NUMBER
Stare of Florida, Comity or S . d Au'e
The raregdrg bLittotremt war signed befimemitttds Y day of
n
who Is personally known k1l'ar Im produced a
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v41 mmie of:l'atary• Pmbtic
Print Name atNopry Public
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