HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 1912-0015 ISSUE DATE
1fi7CONI_W
the
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for ANCHOR DOWN
(Primary Contractor)
For the project located at 1157 NETTLES BLVD
(Project Street Address or Property Tax ID #)
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.
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O TRACTOR RGNA ( u ser)
RONNIE BLAIN
PRINT NAME
loollilE-LNVA
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LLIC
II
The foregoing instrument was signed before me this 11 day of
DEC 20_ by RONNIE BLAIN
who is personally known _or has produced a DL
tificafion.
STAMP
gnatureof Notan P blrc
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Pri r4l otryary� Wiens Armstrong
�s cz My Commission GG 913313
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Revised 11/16/2016
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SUB -CON CTOR SIGNATURE (Qualifier)
JOH W
PRINT NAME
IH1118467
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCII
The foregoing instrument was signed before me this 1 1 day of
DEC 20_ by JOHN LAW
who is personally known or has produced a DL
PERMIT# 1912.00155 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RONNIE BLAIN have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub -contractor for ANCHOR DOWN
(Type of Trade) (Primary Contractor)
For the project located at 1157 NETTLES BLVD
(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.
CONTRACTOR SIGNATURE (Qualifier)
RONNIE BLAIN
PRINT NAME
IOMfififiBy, [as11
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCII
The foregoing instrument was signed before me this 11 day of
DEC 20_ by RONNIE BLAIN
who is personally known or has produced a DL
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SU CONTRACTOR SIGNATURE (Qualifier)
: SIM
PRINT NAME
IH1118467
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCII
The foregoing instrument was signed before me this 11 day of
DEC 20_ by RONNIE BLAIN
who is personally known or has produced a DL
c M
as ntification.
STAM1iP AMP
ignatureof Notai ublic Signatu of Not yPublic
Print No of tags PI*Ary Public State of Flodda
B Nancy Mims ArmstrongMy
Exprtea 09118R023 ommission GG 913713
or n
Revised 11/16/2016
Print Name US 1
Pp off
Notary Public Stme of Florida
g Nancy Mims ArMStro g
B� My CemmiselOn GG 913313
p na" Expires 09/16/2023