HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# I �V'Acrl-) I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUIIAING PERMIT
SUB -CONTRACTOR AGREEMENT
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have agreed to be
1�umpany ivametinmviuuat ivame)
the Sub -contractor for _ I nrsa 6UC rr-r '=hc..
(Type of Trade) (Primary Contractor)
For the project located at
(Project
Lear Puce. '4aaq - 5ol - ooW 000-Lt
or Property Tax M 9)
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.
I �
\TRACTOR SIGNAT ( aUcr
-John en-h or\y G c oza v P
PRINT NAME
\..k�0 Q 1(A
COUNTY CERTIPICATION NUl1IBER O
State of Florida, County of�v W 1 ` �t
The foregoing Instrument was signed before me this I I day of
fu 202C,byS�n FtMh o(\\� 6rDZ, cl,
who is personally (mown)Lor has produced a
STAMP
Revised 11/16.2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County ofa�.
The foregoing Instrument was signed before me this _a_ day of
b Fe20L' byy_OLM& egMtf\i,
who is personally known V—or has produced a
as identification.
t%AM V, - STANIP
nature ofN tary Public
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Print Name of Notary Public * * mycotAgSMIGGM9122
gs ,< 17(P S:hpt Z2021 .
'�Pornoa' Nettled Tin 8.0gettlotay Be=
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/Vi S ttir have agreed to be
(Company NameRndividual Name)
the _j jtrAC Sub -contractor for . Gvezo i3ui ��rC , ZNG .
(Type of Trade) (Primary Contractor)
For the project located at
Street Address or Property Tax ID #)
50f - 0D6(0- Ooo -4
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.
CQt MUcrOR SIGNATIIR9(Qualiller) �
p_)ro ani," o(\u Grozoav?
F INTNA E
1togH
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4LL_ i
The 1-foregoing Instrument
vas signed before me [his day of
�J Q 20U' by_-SOhfi ()O+t) DQ'� C(
C-D &CL
who is personally Imotra $—Or has produced a
as Identification. f A A
— " "
STAMP
Signature of Notary Pub le
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Tianno, C rc.,V)cty►
eo
Print Nome of Notary Public
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Raised I1.162016
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V✓ of
COUNTY CERTIFICATIONNIABI'E,R
State of Florida, County of Sl'lM�l� —7'1i'l
The foregoing Instrument Bros slg before me this 'r� day of
Rbrw.Za_ ,>. I S
who Is
has produced