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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTM PERMIT # )q6( ^ _ ^ l (, ISSUE DATE PLANNING & DEVELOPMENT ! Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED BY St. Lucie County V, (JaSCLnD JUL 17 2019 Permitting Department St. Lucie County, FL have agreed to be (Company Name/Individual Name) /� the C--1Pc f CCU I Sub -contractor for Agr-a <Ta-R s Q nS (Type of Trade) (Primary Contractor) U l cbi\kx G G r - For the project located at l OD ly • 3T � �} (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 (Qualifier) t)Wa1a �. pe llw PRINT NAME 20US9 COUNTY CERTIFICATION NUMBER State of Florida, County of RvvuA /^ III The foregoing Instrument was signed before me this Lmday of _LAY ,2011,by Donal4 4. RIZJ1 4 who is personally known,Y-or bus produced a _ as identification. ! &xo"" ++ (I.{I- 0�- STAMP Signature of Notary Public Print Name of Notary Public - tvr KA11EHART f®fit No" Public -Slats Of RUM • ` Commission # GG 042273 My Carom. El�ltea Feb.19, 2021 Re�Sedlln0nole �aOdF 6oMWthrough UxWWzyAs= COUNTY CERTIFICATION NUMBER State of Florida, County of JThe foregoing instrument was signed before me this t doy of 1A 20t,by V0fl1;1 /7d6Y) 6 who R PC rsonal(y imow;6r bus produced a as Identification. STANIP