HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
i9 I-o3`�
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St, Lucie County
have agreed to be
(wu.Pauy avmuaauwvanum a�auac/ c 1
the ��LCy�-1 Sub -contractor for �_Uc((L (20t�n'�t
(Type of Trade) (Primary Contractor)
For the project located at I ( C) -J U n�, ri(�E
(Project Street Addr or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the B 11ding and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of ange of Sub -contractor notice.
l.Vl\ 1 KAC1 VK WUNA1 UUK�E (VU1111ner)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of & t C%
The foregoing instrument was signed before me this 8414ay of
who is personally known V or has produced a
as ideutificafion. �C�✓"�—r
STAMP
' Signature of Notary Public
1`-ICU95k Reece- l.-
Print Name of Notary Public
�q'.P......,} MELISSAS. BOECKEL
Commission # FF 979475
a" Expires April., C.T.
'oY5 :iat- aeedres April 6,20M4
Revised 11/162016
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SU - TT OR SIGNATURE (Qualifier)
INANE
COUNTY CERTIFICATION NUMBER
State of Florida, County oftCi�/_{. q
The foregoing instrument was signed before me this J� day of
Decemhe)f ,za RbcA
who is personally known \/ or has produced a
as ide"cafi,2A
STAMP
Signature of Notary Public
Gyi Sg 160�es
Print Name of Notary Public
fRyiiit�, GRISEICORTES
d Y� 1lYCO10116SSION/GG318756
;? o` 1RES:June2,2023
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