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HomeMy WebLinkAboutSub-Contractor Agreement�cPris PERMIT # ISSUE DATE the e l- e e l, (Type of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT c E S have agreed to be Sub -contractor for Ti6 Oct S 7-0 1" /4o©LS (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. `/'L e C CONq7ftAcToR SIGNATURE (Q alifier) PRINT NAME ' '���y COUNTY CERTIFICATION NUMBER State of Florida, County of Y L N r/L The foregoing instrument was signed before me this day of ��� tl/i�_ 2o919�1by �J_Cv /a AJ N! ✓M r4 X' who is personally known ilf_or has produced a as identification. STAMP Signature of Notary Public Print Name of NotaryPublic • WILLIAM H DONOVAN JR AI ., c MY COMMISSION 0 GG093576 'looer EXPIRES April 12. 2021 Revised 1111 L I - SUB -CONTRA OR SIGNATURE (Qualifier) PRINI' NAME a9��a COUNTY CERTIFICATION NUMBER State of Florida, County of 5- 't u (e C-I' Tjtcjt'o1reeggoiing instrument was signedrbefore me this ` /iJ^dayooff I1 K,1 U ,20f�6S C 1 1 1 i S f�) Y.' ii ! C"`.l„\ who is personally known Vor has produced a as Identification, vika f STAMP tgnn ure of N tar oblic Q� i n s, I -a a Print ICNamc ins, Public ou+r Nomry Public State of Flodde . "_ ? Kaylin J. May yy? My Commission GG 908091 N �� Fxpirea,l0/03f2023 ' PERMIT EE ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the Phu fKAl A) Sub -contractor for d ,(-5n n O0L5 (Type of Trade) (Primary Contractor) For the project located at 51 D b N (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. CONTAACTOR SIGNATURE QuaOfier Soda) Yk - MA\/ PRINT NAME ' 6�1i 6_6 COUNTY CERTIFICATION NUMBER State of Florida, County of C- L( CIE - The foregoing instrument was signed 'before me this / OO day of`, C . 20� by�J [��i A.� in 7 who is personally known C or has produced a as identification. �VV�i STAMP Signature of Notary Public !�L/[M �/ �)W\o✓cam ✓\ �� Print Name of Notary Public WILLIAM H DONOVAN JR MY COMMISSION # GG093576 EXPIRES April12,2021 Rev A� SUB- ONTRACTOR SIGN u o���• WlX PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of f L-t(C7t The foregoing instrument was signed before me this Lo day of who is personally known Ve'ar has produced a WILLIAM H DONOVAN JR MY COMMISSION # GG093576 EXPIRES April 12, 2021 STAMP