HomeMy WebLinkAboutSUBPERMIT # 6 2• ? I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_=VA - X IV i 0 ( < f p2 t1 G t ±::c �r1 � � have agreed to be
(Company Name/ladividual Name) _
the mac, Sub -contractor for
— (Ty e of Trade) (Primary Contractor) �•f ���t✓G t i r �rt
For the project located at f�` C�t4r461
1tj& E __ � ' �t �
(Project Street address or Property Tax ID 4)
It is understood that, if there is any change of status regarding our participation with the above mentioned
prcjcct, the Building and Cade Regulation Division of St, Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice
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CAC R SIGNATURE (Qualifier) --
PRINT NAME
_0 O -S `/
COUNTY CERTIFICATION NUMBER -
State of Florida, County of ! R e-
The foregoing instrument was signed before me this 2RAday of
who is personally known for has produced a
as identification,
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g ature o Notary Public 'g p 14
Print Name of Notary Public '
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Revised 1116/2016
SIGNATURE. (Qualifier)
F
,LC•I�
PRIM NAME
2-o o -57 `'%
COUNTY CERTIFICATION NUMBER
State of Florida, County of ) P—L
The foregoing instrument was signed before me this 2.3' "dav of
zoZ' by C7J4i1"
who is personally known !for has produced a
as identification.
i a re o N!Dtary Public
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Print Name a Notary Public ie
PERMIT # ?,7 �
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' J �� " Building & Code Compliance Division
WHITE ELECTRIC
(Company Name/Individual Name)
the Electrical
(Type of Trade)
For the project located at i ()' 2
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for J.M. Reid Construction
6 4— UAI I•
(Primary Contractor)
(Project Street Address or Properly Tax 1D #)
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.
CON 'OR SIGNATURE (Qualifier) SUB -CONTRA TOR SIGNATURE (Qualifier)
Julian eid Daniel S. Richmond
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER'
State of Florida, County of I R
The foregoing instrument was signed before me this 21 st day of
September ,2(_ by Julian Reid
who is personally known Vor has produced a PNO
as identification. $
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i na ure f No ary Pubic —
Jennifer M. Richmond CL a
Print Name of Notary Public a L
1aRT�
Revised 11/16/2016
22782
COUNTY CERTIFICATION NUMBER
State of Florida, County of I RC
The foregoing instrument was signed before me this 21 St day of
September_, 20_, by Daniel S. Richmond
who is personally known 'for has produced a
. 'dentirication.
sig� ure of N tary Public
Jennifer M. Richmond
Print Name of Notary Public
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