HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SC
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BUHMINGPERMIT St gyNFO
SUB -CONTRACTOR AGREEMENT LUNG coUntY
1—tYfi CUC'I.II f'Lt \�6y1/lce have agreed to be
(Company Namedndi Name)
the P-,1 a c; Vwc_&A Sub -contractor for SlCI y1 T-0 TAC-
(Type ofTrade) 2,1 (Prima Contractor)
For the project located at � ` 15 — J 01— b0d 2. — 000 --1
(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)
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465c\
COUNTY CERTIFICATION NUMBER
State of Florida, County of'k, Uut .t'�
The foregoing instrument was signed before me this Lday of
L)OV zo_dby ft1&4' 1Mg11,aU�
who is personally Imowm or ba produced a
SUBCONTRACTOR SIGNATURE( ' er) -
COUNTY CERTIFICATION NUMBER
State of Florida, County of STL" ck,
The fornomg instrument was signed before me this la:day of
Loft 20 q by ('WicMd F1a.lnctr30-v1
wbo Is personally (mown Xor has produced a
I"y
as Identification.
Signabrre ofNotmy Public
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Print of Notary Public
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Revised 11/1612016