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HomeMy WebLinkAboutSub-Contractor AgreementT- PERMIT # (� � ISSUE DATE . PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT i e-2 (Company Name/IndiuidtiaaNamr e) the k Y�- i eA (Type of Trade) e Sub -contractor for For the project located at lJ'� ©�/Z —00 o z c70v — r(Project:.Street Address of Property Tax ID (Primary Contractor) 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 Sntractor notice. CONTRACTOR SIGNATURE (Qualifier) PRINT NAME >SUl3 ONTRACT.OR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBfR r COUNTY CERTIFICATION BER . State of Florida, County of State of Florida, County o The foregoing instrument was signed before me thi,2� day of Th ghxegoing instrument was signed before me 1t"day of 20 by � 1 20 by ill Y 9�� o is p onally known or has produced a� . w perso y known _or has produced �( as ide 'fication. as identification. TAMP Signature of Notary. P 1' 4.ture of N" tary u lic C Print Name of Notary P blic . Print Name of Notary Public AB' HUMPIA 3�00817 ?,, AUDREY B. HUMPHREY UIfY COMMISSION # G 0�3 1; * MY COMMISSION # GG 300817 *; iXPIRES: March 8, 2 Z . tens 1 may 'o�= EXPIRES: March 6, 2023 Revised Q; UN lyopry Pub Ic Un 'jFOF F��Q' Bonded ThN NOlary1 PU; E6 UndMwrflerS PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT nS CD `K—Ow k w- Ve' (t- (Com any Namehndividual Name)` v the rle4r1r em"L ..;(Type of Trade) Sub -contractor for (Primary Contractor) For the project located at Oko 2- �f (Z - (0oZ_- 0©c3 - } (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. CONTRACT GNAT URE (Qualifier) r TI f lG 1. is o PRINT NAME COUNTr CERTIFICATION NUM ER State of Florida, County of V 'SUB -CONTRACTOR SIG�NfA1TgU�REE (Qualifier) ]� -F'9 H PRINT NAME N Or — COUNTY LtERTIFICATION NUMBE[,, �- � State of Florida, County of A-/ foregoing instrument was signed before me m% day of The fo ing instrument was signed before mee�tphis�ay of y� 20 by ® t 201f by 15, who er all wn or has produced a wh p y p personally known or has produced a ` . s i ti .cation. as identification. , DA.(_ AMPa&TUAIX` T . Signature of Nota blic Signature of Notary Public Print Name of Notary Pubf Print Name of Notary ub is ADDR�g'HUMpHRE`I B y{UMpHRgY ,;v ois�;� COMM1SS10N s 2317 �r+,ou';,,: COMM SIGN s 2p2317 oU�eilets .: <e Ey,PIRES:Me Underxdle1s �•• 'o: � �lotary�bli Revised I1/16/2016 •'�' ?�' Bond •,',eiiFa�;,•• CFF: PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building. & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT C v av i eic. (Company Name/Individual Name) . the 1i1L Y� l n Sub -contractor for ype of Trade) (Primary Contractor) For the project located at 'M o — yl Z 1' G' c-) Z ^ 00o .(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. CONT NATURE (Qualifier) PRINT NAME W11-CONTRACTOR SIGNATURE.(Qualifier) ►. 1 :�_ �. COUNTY CERTIFICATION NU41BER COLWrY CERTIFICATION ER State of Florida, County of State of Florida, County of q w � The foregoing instrument was signed before me thism:.Xay of ggpp The foregoing instrument was signed before me t is day of yy� �D /� 20 byno"YN 1� j 20 by l l�l—'`�' — dilw is pe nally (mown _or has producer o ' per Ily known _or has produced a as identification. as ide 'fication. y 'i�:' Print Name o Notary P blic Revised 11/16/2016 1 1 Print Name of PERMIT # ISSUE DATE t r,*7 0-5 C c (Company Name/Ind the'd (Type of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance: Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub -contractor for (Primary Contractor) a cs�z— 0 007 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. s - CONTRACTO GNATURE (Qualifier) NT NAME 1 COUM CERTIFICATION State of Florida, County ofW �e foregoing instrument was signed before me this day of 201q by ho is onally known _or has produceO as identitica600. rPT — Signatkfe of Notary Public ' �l Print Name of Notary rublic, Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) W71CW!�0-0 couNrY CERTIFICATION NUM ER . State of Florida, County of �� p L T going instrument was signed before me this,,�ay of A AA ZO-9; by i �s pers ally known or has produced a as ideutilication. / Eleim,mr,-