HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING &`DEVELOPMENT SERVI ES nu% cavCU
IrdR_Building & Code Compliance Divisi n JUN 2 g L�
-- - BUII DING PERMIT ST• Lucie County, Permitting
SUB -CONTRACTOR AGREEMENT
__ M \ b�IMt� t ✓1 have agreed to be
(Company Name/Individual Name)
the Dkw� Sub -contractor for <S1✓1
(Type of Trade) e \ 1 `(Primary Contractor)
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For the project located at ✓ . �G v k 6, CJ J t4Sen
(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)
PRINT NAIVE
COUNTY CERTIFICATION NUMBER
State of Florida, County ofqV e,_
The foregoing instrument was signed before me this �Ct th day of
Jtweo 2022 by O'Tjdoft pw60f1
who Is personally (mown -)(—or has produced a
as identification.
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F111
Signature o otary Public
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Print Name of No ry Public
of No ry Public
Revised 11/16/2016
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al�
) UBLOONrdYACTOR SIGNATURE (Qualifier)
PRINT NAME
iJV,(, \q 2 6915
COUNTY CERTIFICATION NUMBER
State of Florida, County of ✓ 1 JlCI� q,,
The foregoing instrument was signed before me this f—` Irday of
JUr .202oby Bale iaammo(Y�
who is personally (mown )6 or has produced a
as identification.
4zJ_"_ STAMP
Signature of Notary Public
Public $
Print Jill
Name Notary Public
10"
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 I Building & Code Compliance Division
BUHD1rNGFFJUWSUB-CONTRACTORAGGVEEMENT
the . l_(e'Ay-i C.. I Sub -contractor for
For the project located at
Tax
have agreed to be
(Primary Contractor) -
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.
CDNT1 rA R.S�.tQmuFier SUB•M, . h, UR SIGNATURME (QUatln¢i)
u-di�1Gy'tk.r 1)2�� �6Z�Su1,. �• Sl.clw✓� �"=�'�_
t'RINI't'GNIE - - PRINT M%AH...
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COUNTY CERT]nGTION NUIDIDER
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who Is powrolly Lnown_or huu produced
asld Iarati0n. \ I
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Punt Name at 'oW1y 1'uld(t
Revised unfdzotr,
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CUUNTN.CERTInCATTON. UmEii
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