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13-14310
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13-14310
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Last modified
4/28/2014 1:42:55 PM
Creation date
4/28/2014 1:40:33 PM
Metadata
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Building Department
Company Name
UNIT #1 DOCTOR OFFICE
Building Department - Doc Type
Permit
Permit #
13-14310
Building Department - Name
BILL NYE REAL & SIMPLY THREE LL
Address
36819 EILAND BLVD UNIT 1
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IN WITNESS WHEREOF,Contractor and Subc:antractar have each caused this Subcontr�ct ro be executed <br /> by their respective officers duly authorized therew, and each hAS caused its seal to be attested to by its <br /> officer authorized therefore,all as of the date first above written. <br /> Cox Fire Protection,lnc. <br /> � (Su • ntractor � <br /> Z {Seal) <br /> Wilness Sig t re Signat re <br /> �bn��l.(7 �i l..11K <br /> Print Name <br /> ��r��N 1� <br /> Title(Officer or Authorized Signer) <br /> ACKNOWI,EDGEMENT <br /> S1'A'I'E OF � Y�U A. <br /> COUNTY OF N l 11 1(�p�� �,,r,� <br /> I' r � ,a Notary Public in and for said Counry and Sttite. <br /> hereby certify th <br /> ��r��,C�PVI� , . whose nnme as <br /> of the X ,r r C i <br /> a corporAtion, is signed to the foregoing Subcontract and who is known to me,acknowledged before me on <br /> this day tt►at.{1)he had read and understands the foregoing Subcontruct,including particularly,but without <br /> limitation,Section 16 by which the Subcomractor indemnifies the Contractor,(2)with full authonty,he has <br /> vatuntarily and freely consented to the terms given under my hAnd and seal, this � ��� <br /> .20�. _vt�______ day of <br /> CANOY MOREIMIp <br /> � NOTARY PUBIIC <br /> STATE OF FIORIDA <br /> OTAI2Y LI . ' °, CommN EE8768M <br /> Expires 2/'ZOJ2017 <br /> FOR WAt,LACE ASSOCIATI:S USI's ONI.Y � <br /> , I.I.ACE ASSOCIATES.L.L.C. <br /> . � I <br /> �,� a0 �,� ln�. <br /> Witness Signature ignature <br /> John L. Wa{lace <br /> Print Name � <br /> President.C.E.O <br /> Title <br /> C' r�•�� <br /> Date <br /> t3o6-i5-3oo <br /> Page 13 of 13 <br /> Suhcontract Agreemcnt(Long Form) <br /> Reviscd 06/OS/10 <br />
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