HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTIA
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PERMIT # I I c)_ O ( I � h( ISSUE DATE
) r
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
k W CYi%��—Q�� have agreed to be
(Company Name/Individual Na
tlie�t,-JQ C �f1Q( Sub-contractorfor�l(@�j��'J^Q�
(Type of Trade) (Primary Contractor)
For the project located at 1 B� S o u Q"(-
(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
the Building and Code Regulation Division
of a Change of Sub -contractor notice.
► R
County will be advised pursuant to the
COUNTY CERTIFIC N NUMBBEER. COUNTY CERTIFICATION NUMBER
��
State of Florida, Co inty6' f r ■�� State of Florida, County o� e
The (foregoing instrument was signed her, r e this day of The foregoing instrument was signed before me ibis
is personally known or has produced a r..1Yho is personally know �or lyl produced a_
tl�
STAMP
Print Name os/ W%019C/VVvv"4.J'44'Wy 3
gT"K Notary Public State. of Florida
fit? Emily Lopez {
r • My Commission GO 00T460
?m it Expires 08/20M2020
iwf'+i'.1\.x.AAhhr4JNh.M1./�.4'�har
Revised 11/162016
Print Name of Notary Public
rt� =u�' (; 1104`uy Pnu�c Slnte of Florida
> n �,�,9 FrnfiyLopaz
+�,1 ay "lr Conumsskn GU 00:400
s: wr.0 Expires llg/Yulmo
STAMP