HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINGPERMIT
SUB -CONTRACTOR AGREEMENT
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St. LU By
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_1(w ic�gyhlq �&Ju:bcn3 / have agreed to be
(Company Name/Individual Name) & —&�� r-
the 542—__ �P� 10 (-P� Sub -contractor fb�a-()0--_Yr:bm� F(� )Ltbcrl'�
(Type of Trade) (Primary Contractor)
For the project located at
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.
UUN I HAUS OR SIUNATURE (Quatifer)
Own n v-c
PRTNT NAME
COUNTYCE A ONNUMBER
State of Florida, County o(TOYO
The foregoing Instrument was signed before me this L_ day of
20fl, by )3D-�+tCCb (C
who Is personally known zor has produced a
as Identification.
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Ignaturfaf Notaq Public
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Print varric of Notary Public
bUIS-CUINTRACTOR SIGNATURE; (Qualifier)
3LCLOL �4(a"'r
YKINTIVAME
COUMNTY RTIFICATION NUMBE
State of Florida, County od, 2Kn
The foregoing Instrument was signed b efore me this -L day of
% _. 20 �n by 3Lej]L� (n er-9 4'1 Yr
who Is personally known v'�mr has produced a
as Identification.
STAMP W gh
uturk of Notary Public
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Print Narbe of Notary Public
STEPHANIE ARCE
MY COMMISSiON #FF1 70898
Revised 1111612016
EXPIRES October 2Z 2018
(407) 3984153
FloridallotaryService.com
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