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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be the F, I eC+f Cc. Sub -contractor for (Type of Trade) Q1(Primary/C�o�nttractor) n _ For the project located at SuQ 4* ,S �G _I "ILJ 18� 1lJr� 3�D©� (Project Street Address or Property Tax 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?AldrS CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier) e#ARIEs W17Zt^6TI PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofsC:b . CThhe foregoing instrument was signed before me this � day of `� )oip 20AEby CQ'\JWito LQC1QQA,:0C who is personally known _or has produced a 'rn' Ql-W as Identification. t\�I _ / 1 1 6Jl.f�(l DV'eQ�Y(1(1 STAMP Si am a of Notary Public - - I Print Name of Notary Public LEI -, a LASHAHNA INGRAoarublicStateofFloridayCommExpiresDec20,2078Revised 11/162016Cmmissin;/FF ll7249ntled through Naliem..l Notary Assn. PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this _ day of .20—,by who is personally known _or has produced a as Identification. STAMP Signature of Notary Public Print Name of Notary Public PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual the "FIX wb-n. bi rLLI (Type For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub-contractorfo tPrimary Contract�V have agreed to be 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. GaIJIS l,Jct.ProT/ CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier) C�l�E I-C-S IAlAl�aT% P RiN'l� A COUNTY CERTIFICATION NUMBER State of Florida, County of Thee foregoing instrumentwas signed before me this dayof who is personally known or has produced a r h LLU W Identifi cation. ion. 4(\1� �+'t �J STAMP 'Signature of Notary Public Print Name of Notary Public Revised 11/162016 PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing Instrument was signed before me this _ day of 20_, by who is personally known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public the PERMIT # ISSUE DATE (Type For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub -contractor for Address or Property Tax ID #) Contractor) have agreed to be N 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. Nl�fs CJ67% CONTRACTOR SIGNATURE (Quaafier) Phwup� t.IRl�a PRINT NAME COUNTY CERTIFICATION NUMBER � State of Florida, County of �`4 .FCJISL.• e foregoing Instrument was signed before me this 1 alday of 20j% by — who is personally known _or has produced a as id tificatiow yU�II�J STAMP Si turerof Notary Public Print Name of Notary Public pyB,•• LASHAHNA INGRAM � 5WY e, , ,`�•; Notary Puhlic -State of Florida • ; ; • E My Comm. Expires Gec 20, 2018 Commission Revised 11l162016 .. FF 777299 ••'%ept���p�• Bonded through National Notary Assn. SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing imtrument was signed before me this _ day of by who is personally known _or has produced a as Identification. Signature of Notary Public Print Name of Notary Public STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT the IC1>cv r (Type of Trade) Q f For the project located at ��� U t� (Project Street Addri have agreed to be Sub -contractor for (Primary Contractor) , , _ or Property Tax 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. ohums LJ aP1,6 r/ CONTRAC`170*,SIGNATURE'(Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER, I�.i; State of Florida, County of �, t The (11L1 foregoing instrument was signed before me this I' 1° day of {�, .2a `-' by C�il_ nod A&13� who is personally known _or has produced a as i tiBcatlao. STAMP 'Signufur6of Notary Public Print Name of Notary Public ."av n°• LASHAHNA IN--�qAM m OtiP 481y +� . �: Notary Public - State of Florida •I My Comm. Expires Dec 20, 2016 Commission ;1 FF 177249 Revised 11/16201 Fro?°p an n6d Ih, oeh ni,r:..., u_.__. . rCONTRACTOR'SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this _ day of .20_, by who is personally known _or has pmduced a as identification. Signature of Notary Public Print Name of Notary Public STAMP