HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTGA DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
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(CompanX Name/Individual Name) P-� a &ai,�
the -'> W _q J C fz-z-A Sub -contractor fbi__��7
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(Type or 'l rade) (Primary Contractor)
For the project located at
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County oday_c�
The foregoing Instrument was signed before me this r
L—dayof
.20JL by OZ�i-tC(
who Is personally known Zor has produced a
asidentification.
STAMP
tignatur)l of Notary Public
�S� Ir RYT
Print Name of Notary Public
STEPHANIE ARCE
MY C,-",MISS1ON #FF170898
Revised 11/16/2016
EXPIRES October 22, 2018
(407) 39B-0153
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SUB-CUINTRACTOR SIGNATURE (Qualifier)
Nat* �4ceht"r
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County oa%fn
The foregoing Inatrument was signed before me this 9 dyof
?C:j2L 20 �n by M f (1-711 Yr
who Is personally known iL�_or has produced a
as Identification.
SIg— &A-U&I STAMP
naturt of Notary. Public
Print Narbe of Notary Public
Y=
SFIT�'0�
STEPHANIEARCE
i
My COMMISSION #FF170898
EXPInES October 22,2018
80153
OallolaryService.com