HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT S7Permitting
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Building &Code Compliance
BUILDING PERMIT 07 2017
ANNED SUB-CONTRACTORAGREEMEN
BY Department
St. Lucie County e County, FL
have agreed to be
the '0!D y/d e C Sub -contractor for _r/,,64/,,,('
(Type of Trade) (Primary Contractor)
For the project located at 10S�70 US 12M, _ A�-/96)
(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.
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CO CfOR SIGNATURE (Qualifier) ek SUB TRACTOR SIGNATURE (Qoatifier)
d'z-'11;tL r / &&SG, e f
PRINT NAME
/0 5'-3.P
COUNTY CERTIFICATION NUMBER.
State of Florida, County of dl"/ a
The foregoing instrument was signed before me this U day of
OrC'n12R . .2(t), by (IA40& t i(d.f isoe(f
who is personally known IL-1r has produced a
as identification.
STAMP
Signature of Rotary Public
I u'cC!2'7eQAAaetnett
Print Name of Notary Public
,.�;RJ'="�a DANIELLE JEAN HANNON
+°• : �• Notary Puplie - State of Florida
:�' Commieaion s FF Sg53l3
Revised 11/162016 °.',�offtd;;:'' MY Comm. Ellplra May 23, 2020
Sorted IArouph Natknal Notuy Assn.
PRINT N
fit (_AME6 (_ .) C"Vie Pa
/Ui3J
COUNTY CERTIFICATION NUMBER
State of Florida, County of P6.64i QLJte.4
The foregoing instrument was signed before me this l__ day of
201i. by 9aA4_ w ('Q J4r&e1J
who is personally Imow� or has produced a
as identification.
/
/�/LCL✓� STAMP
Signature, of Notary Public
'oat; &R_ 7ta.4 yfa'Irn0V7
Print Name of Notary Public
DANIELLE JEAN HANNON
k: Notary Public - State of Florida
Commission i FF 9953E3
•,;�,OF yo,• My Comm. Expires May 23, 2020
"....,•••• Ilet*dthm0NBbeal Notary Assn.