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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT /rd� 10) P have agreed to be (Company Name/Indiv' al Name) the P D 0 4 1. r 6 Sub -contractor for (Type of Trade) (Primary Contractor %' , ) For the project located aty J� 71: o,p 9)1-ev' Or I I Pe/'c Mvz— (Project Street Address or -Property Tax ED #) J 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. r CONTRACTOR SIGNATURE (Qualifi P^RIINjTNAME COUNTY CERTIFICATION NUMBER State of Florida, County of n(. ZJAU "e The foregoing instrument was signeA before me this day of Qd 6b, , 2019�, by ?� ) c 1Cwho is personally known _or has produced as identification. TAMP rgnature o Nota Public Print Namedfllof y Public / AUDREY B. HUMPHREY MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 Fpf F °P Revised I1/16/2016 Bonded Thru Notary Public Underwriters 11! � •� Bonded �,iur�sK�9GS�,2a4:x SU�B-CONTRAC%T�OR SIGNA (Qualifier) PRINT NAME /� CO TY CERTIFICATIONNUMBER State of Florida, County of �+ 7 LtotGi'V The foregoing instrument was signed before me this N­ day of who is personally known _or has produced a aside tification. Oa!�)36� TAMP Signature of Nota y ublic Print Namel o otary ub rc AUDREY B. HUMPHREY 111TO # MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 Bonded Thru Notary Public Underwriters I. PERMIT # ISSUE DATE V) l- the % n e (✓ (Type of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Name) I P/I Sub -contractor for have agreed to be (Primary Cronntractor) , er r FJ kej� (Project Street Address or Property Tax ID #) J 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 (Qualifi � /'GECy� if �G•-z-� PRINT NAME /" l COUNTY CERTIFICATION NUMBER State of Florida, County of .e The foregoing instrument was s!i!gneA before me this 14— day of OCI&� , 20 ft, by I'11i (j G- 1 who is personally known or has produced % as identification. TAMP rgnature o NotaIV Public V,/ - m Print Name o of Public •„rr�e AUDREY B. HLWPHREY tr. MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 Bonded Thru Notary Public Underwriters 11 Revised 11/16/2016 1'"Z2�a SUB -CONTRACTOR SIGNA E (Qualifier) PRINT NAME CO TY CERTIFICATION NUMBER State of Florida, County of �r L AQ V The foregoing instrument was signed before me this N­ day of Oc,441v— , 20L, by7)2 11T11 1 S 14 ):''-: 3& - who is personally known _or has produced a A. as ide tification. TAMP• Signature of Nota V ublic Print Name oMototaryIc C>Z/ AUDREY B. HUMPHREY r MY COMMISSION# GG 300817 EXPIRES: March 6, 2023 �r !` F' Bonded Thfu Notary Public Underwriters i r PERMIT # ISSUE DATE (Company Name/Ind the (The of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division kfal Name) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for (Primary Contractor) 9, cze- Or P (Project Street Address or Property Tax ED #) J 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. - - -7 Z�� 2" m CONTRACTOR SIGNATURE (Quallifierf PRINT NAME N kk COUNTY CERTIFICATION NUMBER State of Florida, County of J 7. i—Au t The foregoing instrument was signe before me this day of OC-16�. . , 20 1% by j CG 1 who is personally known _or has produced : %(— as identification. X9 ­W'-41 TAMP rgnature o N . ot2U. Public Print Name o of y Public SUB CONTRACfT�OR SIGNA (Qualifier) PRINT NAME AIM COUTATY CERTIFICATION NUMBER State of Florida, County of LtrtCq . a The foregoing instrument was signed before me this N­ day of pp�� OG4 NL- , 20L, by 1< who is personally known or has produced a / t as identification. TAMP Signature of Notafy Public a��3�r Print Name oh oubtaryc x r�rra.rer®++rraa <iAYagc;' AUDREY B. HUMPHREY ; o<is!Y?ys(•, AUDREY B. HUMPHREY i ',? ,_ MY COMMISSION # GG 300817 MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 EXPIRES: March 6, 2023 r?� •••FOF F4o,, Itevrsed 11/16/2016 Bonded Thru Notary Public Underwriters Bonded Thru Notary Public Underwriter• 1. �®®sa is+camcmr��iw.>•�•,ruv_ .rn;n::V PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Com any Name/IndividdiaX ) the P) CG� r ' C (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for (Primary Contractor) 7TJJ OaP 9)\"e1 Or I 1 (Project Street Address or Property Tax ID #) J 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 SIGG%NATURE (Qualificirf PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of .e The foregoing instrument was signe_d before me this day. of 1 who is personally known or has produced as identification. TAMP Xi,.al.reo Nota Public Print Name o of Public rrV7 `• YPq c,' Bonded Thru Notary Public Underwriters jri AUDREY 8..HWPHREY MY COMMISSION # GG 300817 Revised 11/16/2016 EXPIRES: March 6, 2023 �e�sa aammaa>+c SUB-CONTRA(%r�OR SIGNA E (Qualifier) l,/t/a i/!') PRINT NAME A CO TY CERTIFICATION NUMBER State of Florida, County of Mm The foregoing instrument was signed before me this day of ©CJa% , 20L, byP-V U_1-� �� n&-- who is personally known or has produced a t as identification. TAMP Signature of Nota y ublic 'Ak Q�)�/ Print Name o otaryub c =otiRvay c; AUDREY B. HUMPHREY I MY COMMISSION # GG 300817 ="•' Po; EXPIRES: March 6, 2023 Bonded Thfu Notary Public Underwriters jp�