HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT._ I
PERMIT# T/
qa -7 2 p ISSUE DATE
BY
St. Lucie County
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/IndividLlaYName)
the nym(<i .✓- Sub -contractor for
(Type of Trade) (Primary
For the project located at
3 Ocean
Address or Property Tax ID #)
RECEIVED
JUL 1,8 2019
ST. Lucie County, Permitting
have agreed to be
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 wip be advised pursuant to the
filing of a Chapgre-of Sub -contractor notice.
COUNTY CERTIFICATION NUMBE
State of Florida, County of �11�
The foregoing instrument was signed before me this/ day of
200,, by
who is personally known _ar h s produced a
cz
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this S day of
JKfd 20/ by
who is personally known _or has produced a
0
as identification.
as identification.
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STAMP
b
STAMP
�t e ofNotary Public
gga) re of Notary Public
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JA27FINEN.STOI�S
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IRE N. STOICS
#GG 136/87
Print Name of Notary Pu licME
MMISSION#GG13618T
riot Name of Notary P
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EXPIRES: September18.2021
ES: September18,2021
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Bonded Notary PbliclhdeMFEra
Revised I1/16=6