HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the � /eC_ %r- % CltiQ Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at �V )/7 97 % 2 C f Z)
(ProjedIISlrdnrss 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.
CONT IG A— 4 Quali r)
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PRINT NAME
1 �Fd
COSY 11FICATION NUMBER��""
State of Florida, County of��1)t,C f (p.i
Thta,ntification.
fregoing instrument was signed before me this day of
28�) f)gT i`m�N
ersonally known _or has produced a C
STAMP
Signature of Public
Print ame of N ry Pug -lie
'w. i'•,
AUDREYB.HUMPHREY
MY COMMISSION tl FF 1747M
' -
EXPIRES; March 6, 2019
Revised (, P?
Bonded TMU NotWubk Undeadters
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PRINT NAME
Y1c,l .
COUICY CERTIFICATION NUMBER
State of Florida, County
e foregoing instrument was signed before me this q_ day of
2d/7 by ` 1— 1V-
ho is personally known _or has produced a •,L�i G.
':r'e'""•. AUDREVB.HUMPHREY
ar .: MY COMMISSION B FF 174A2
;,�., EXPIRES: March 6, 2019
�T'CAf,1, •'�a` Bonded Thrs NolaryPuWic Undervnilers
PERMITA! ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company N__ame/IndividualName) / f
r[y the �vh Sub -contractor for
(Type of Tra e) (Primary Contractor)
For the project located at
(Project
Tax ID #)
FA
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.
COUNTY CERTIFICATION N MBER
State of Florida, County of /1
e foregoing instrument was signed before me this day of
20P77 by y� s
w is personally known _or has produced a K. '
STAMP
Print Name
107a7m7j
REY R HUMPHREY
MISSION d FF 174772Revised 11/16/2016RES: March 6, 2019in Notary PublbWdewilers
Si�_�ON`FlYilnn yO—R-SY('NAR(Jf'2n• (Qyirn��,�e "� ��f�y
PRINT NAME 7—
COUNTY CERTIFICATION BER
State of Florida, County of Q/ e
The foregoing instrument was signed before me this do of
s
20—
w o Is personally knownn _or has produced a
m N R6P/
1HfY"s AUDREYB.HUMPHREY
MY COMMISSION X FF 2019
EXPIRES: March 6, 20t9
,Rr Banded Thor Notary Public Undemri�ere