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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # as O, _ G3�3 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance (Company Name/Individual Name) the E49&b7%1GI1 (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Project Street JAN 21 2029 ST. Lucl=ermitting have agreed to be Sub -contractor for ty,"U\"— 0\A eggs (Primary Contractor) or Projlerty 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 CONTRACTOR SIGH + (Qualifier) IE)Zre_Y& V t l lccpo5 PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofE . *k.A..Ca e— The foregoing instrument was signed before me this 22-rday of weMlx�-.20 by C-y-% GLQ Vt��waS who is personally kno.rn `�r has produced a nsldr 10 . _,` \ 1 ,,, STAMP Signature of N—dtal" Public Print Name of Notary Public f_:C©ccca 4 l COUNTY CERTIFICATION NUMBER State of Florida, County of S' . e_ The foregoing instrument was signed before me thiszzy day of IlU✓embrr , zo 9 by P�L Rnr�c�A� I .oh.. i. ..o.ennoliv hnmmn ✓nr lane nrndnred a Revised 11/162016 PERMIT # 4 ISSUE DATE aa�l- 03 3 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT =RECEIVED have agreed to be (Company Name/Individual Name) the 7? ,,t CcMs-s-Q_k-t-I-ca Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at �-wlL \ VLL or 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. CONTRA OR SIGNATUR]FZ§�palifier) Y11�'��,08 PRINT NAME COUNTY CERTIFICATION NNUMBER State of Florida, County of Sl s �,I- C; -C The foregoing instrument was signed before me tbis% ~ day of Otmcr..tor.— .20L by E�riCKa N bAC Qs who is personally known ✓or has produced a as ••• *G iWP64 �eUC STATE llllllllllll\1\ kIMP1`4 PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of s'. \.VC i e- nC The foregoing instrument was signed before me this day of 1�6-ervlber,zolG hy,�asOn�7ra m� who is personally known ✓or has Name of Notary 21, •elle Una: �e[/C. STATE Revised 11/16/2016