HomeMy WebLinkAboutSub-Contractor AgreementPERMIT#
the
ISSUE DATE
PLANNING & DEVELOPAUNT SERVICES
Building & Code Compliance Division
For the project located at A-gW
BUILDING PERMIT
SUB -CONTRACTOR AGREEWNT
Sub -contractor for
have agreed to be
(Primary Contractor)
0`to-t-11-92— Wr—ooc)-o
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.
tG - O SLGNATUR&(Q_Efier)
P ILNL
OPRINT NAME'
�'
[AUNTY CERTn+ICATION NUMBER
State of Florida, County of
The foregoing instrument wn slgued before me thia,5L day of
who is personally known 42ar has produced a
( av identification.
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SCAMP
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Print name orlVotary Pohbe
Revised I1/162016
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�PRINrNAME
CO�UNII J RTIFICATION NUUIDER
State of Florida, County of��(a,(,L.
The fotegahtg (astrnmeal was signed before we thin day of
filMCA 1 �. h�
who is personalty (mown 20r has produced a
ea identification.
tore otNah 'tiGc'a
Prof j11tic
mtFlnmeof NataryeP�ubh<
JUDITH MUUMWARGO
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PERMIT# N Q� ISSUE DATE 1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ICOUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company ame/Individual Name)
the r ae) vac Sub-contractor for own A'ca'
(Type of Trade) I (Primary Con ctor)
For the project located at 6� Zv�zt & N �
(Project Street Address or Pro erty TV 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.
I
CONZIGTURE(Qualifier) SU CONT CT R SIGNATURE(Qualifier)
.k 4 r
PRINT PRINT N
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State.. State of Florida,County of
The foregoing instrument was signed before me this Co day of The foregoing instrument was signed before me this ay of
_'��-Z cA pct/ Z� � /�-
20_ by —� ,20- by
who is personally known_or has produced a (,� �-- who is personally known or has produced a OL
as identification. as identification.
STAMP _' STAMP
Db
Signature of Notary Public Signature of Notary Public
Print Na — Print Name of Nota PublicFt
ELLEN VAUGNNELLEN VAUGHN
�itiltf//ofFlorida Notary Pub4ic `�{�y,,P�e�mmission# GG 270079 ,=a '� State of Florida-Notary Public
y Commission Expires - _ Commission #GG 270079
_r +-October 22. 2022 '-�,� oe My Commission Expires
''/$�; � _Cletober.22, 2022
Revised 11/16/2016