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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
0
PLANNMG &DEVELOPMENT SERWCES
Euading& Code Compuauce Divisi
RECEIVED
e BUMDING PERMIT' APR 0 8 2019
SUB-CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
z�FX'd'rc% l C_A 2— have agree=d to be
(Company Narne/lndividual Name) n
the 'r— L E'c..YR t C,1�_ Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 2''C fC-S ,LD, R .
(Project Street Address or Property Tax 1D#)
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.
C RACTOR SIGNATURE al,r) S CTOR SIGNATURE(Qualifier)
z!i Z12 egle-4
PRINT NAME
PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATIONW^ j ER
State of Florida,County of 51':4'cc State of Florlda,County.f � �
The foregoing instirumentwas signed before me this�day of The foregoing instrument was signed_before me
tNhi.S.,�^-'flday of.
120-(A
by -moo N .nit aM A-/ G 20d by v 1 V1S� ro rel-&j
who is personaily koown-'�,or has produced awho is personally known✓or has produced a
;Iel�'�../Wreof
dentification ;;'" ., as id n' tion
STAMP tai'` ' STAMP
otaryY Cc
0o
Print Name of Notary Public Print Na e f Notary Public
•;�r W LLIAM H O N JR
•' MY COMMISSIO7NGC
093878EXPIRES Ap2,2021. ." , ap ' Notary Public state of Florida
;� . . Kaylin J Moy
My Eom
y� mmibn FF 914312
Revised 11/1612016 tiow Expires 1010312019
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVIC
i �—? RECEIVED
Building & Code Compliance Division
- - BUII,vING PERMIT APR 0 9 2099
SUB-CONTRACTOR AGREEMENT ST. Lucie County, Permitting
r` S TD /11 Poo 4- 'have agreed to be
the P(Compa Name/Individual Name)
G,(d( / /1� �T Sub-contractor for�l'/n e tt 57-a lg Ay L- S
(Type of Trade) /I (Primary Contractor)
For the project located at
P(' �rL
jWj
Project Street Address or Property Tax ID#) 3 (j J ©d /-y-Q a to-8
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.
CONTACTOR SIGNATURe(Quali r) SUB- NTRACTOR SIGNAT
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 'S7-- L q r_/C State of Florida,County of 5"r 4 W G�c
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this V day of
20�_,by �w � 4) �y� Y►•L !t�/ A%4 tk , ,20Lq,by -1 OP N M • /�
who is personally known✓or has produced a who is personally known 4/or bas produced a
z
tion. as identification.
STAMP STAMP
guature of Notary PubfilC Signature of Notary Public
/7� &
Print Name of Notary Public Print Name of Notary Public
;0�'. WILLIAM H DONOVAN JR
;eav ++ WILLIAM H DONOVAN JR
=` ik
MY COMMISSION#GG093576 •=MY COMMISSION#GG093576
�-.1'. EXPIRES April 12,2021
p EXPIRES April 12,2021
Revised 11/16/2016