HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # W • 6q � o ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT
St. Lucie County
have agreed to be
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the Sub -contractor for 6U. '? pc(,
(Type of Trade) (Primary Contractor)
For the project located at
or
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 SIGNAT // (Qualifier) SUB- CTOR SIGNATURE ( ' ier)
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PRINT NAME P AME
COUNTY CERTIFICATION NUMBER
State of Florida, County of V T % Ua f1
The foregoing instrument was signed before me this _�3_/ day of
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who is personally (mown ✓or has produced a
as identscati /
�6��STAMP
Signatur of No Public
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MELISSAS. BOECKEL
Commission # FF 979475
ExpiresApd16,2020
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Revised 11/16/2016
COUNTY CERTIFICATIONNUMBER
State of Florida, County ofa! AC+ L.L
The
pp ff.(/1'L oregoing instrument was signed before mee% this /S day of
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who is personally (mown ✓ or has produced a
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+s''r''e';//••, MELISSA S. 80ECKEL
3,
Commission # FF 979475
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