HomeMy WebLinkAboutSub-Contractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOP11/IENI' SERVICES
r ' W Building & Code Compliance Divisi®n
� BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
L Fc—Mc I C A-L_ \J S _'E/ C_ have agreed to be
(Company Name/Individual Name)
the [_ E- T-9 ( CJ+L— Sub-contractor for __—Y t'i't 5 C) A,, PCO.Ls��FC
(Type of Trade) (Primary Contractor)
For the project located at I,� 05- 13 " _Q 0.7— Fok E S T- 0 0 G( k 1
(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
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TRACTOR SIGNA RF.(Qualifier) SUB-CONT ACTOR SIGNATURE(Qualifier)
—
PRINT NAME PRINT NAME
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(o*] q q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUNIBER
State of Florida,County of'51 kL'wl State of Florida,County of-5+, L U 6
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
IJP ,20 LVbyy ,)f't iy l/YC lr7,4 7 r t-C ,by h eatil
who is personally known V or has produced a who is personally knowd/ or has produced a
as identification. as ide 'ficatio
STAMP STAMP
ignature of Notary Public Signature o Nota Public
7 (c,
Print Name of Notary Public Print Na e f Notary Public
-W.
M. WILLIAM H DONOVAN JR
'+�' ' yr Notary Public State of Florida
,u.
MY COMMISSION#GG093576 +4' Keylln J.May
6i2 � ,`` s EXPIRES April 12,2021
Revised 1] My Commission Oa 906961
Expirea 10103/2023
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
6-44_X-1 - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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I
Im— ' 9,s i o!!il DOLS have agreed to be
(Company Name/Individual Name)
the PI-y rnf3/ /QCs Sub-contractor for _,)14lt CQ s7_&J/V/ Po6LS j_,! i(lC__
(Type of Trade) (Primary Contractor)
For the project located at Ya?Os G(/2 JV T 2 t S T
!
(Project Street Address or Property Tax M#)
I
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.
!
ell !
CO R-A—CTOR SIGNA (Q alirier) SUB/CONTRACTOR 42nTURE(Qu fier)
PRINT NAME PRINT NAME
7 .
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION KURgER
State of Florida,County of,5C.('q /if State of Florida,County of S%4 wiz
q I
The foregoing instrument was signed before me this O day of The foregoing instrument was signed before me this ('/ day olf
_ 7
20; by �d (Nl LL lV ,20_gVby
who is personally known_or has produced a who is personally knownV_or has produced a
as identification. as identification. /
STAMP STAMP
ignature of Notary Public Signature of Notary Public 7
'0/1'11 (-/ &/, 14 11),--et--
Print Name of Notary Public Print Name of Notary Public
WILLIAM H DONOVAN JR
F�ed'ri116t2016
WILLIAM H DONOVAN JR
= MY COMMISSION#GG093576
Y COMMISSION#GG093576 ' EXPIRES April 12,2021
EXPIRES April122021Rev
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