HomeMy WebLinkAboutSub-Contractor agreements _ rt-
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PERMIT# �1�''} .. �; �'� ISSUE DATE
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PLANNING&DEVE UPMENT.SERVICES
Broil -ding& Code „.ompliance Division
BUILDING ERIViIT
-. SUB-CONTRACTOR AGREEMENT
RECEP— .a11� 3 2d
rfa/ Fes, . have-agreed to be
(Company Name/Individual Name)
the2 Sub-contractor for `'�'""" °` ''� ' ►
(Type of Trade). (Primary"ntraetor)
For the project located at
(Project Street Address or Property Tax ID#)
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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.
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CONTRACTOR SIG (Qualifier) ItA R SIGNATURE(Qualifier)
PRINT NAME INT7
COUNTY CERTIFICATION"NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of�a to tit it Utp— State ofFiorida,.County ofI1d 1 c�p
The foregoing instrument was signed before me tW3) day of The foregoing instrument was signed before me this�� day of
201f,by� � `L1.�� !�' E 201 by
who is personally known)or bas.produced a who Is personally knor has produced a
tlfication. asldde tifica�tion.
STAMP STAMP
Si tore of Nota ubllc Sigqahlre of Notary-Public = }
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Print Name ofNotary Public Pridt Name of NotaryFub c
y
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YF."ROWEISWERTH r�rco Isstot+ sssaio
tuiYCOMM1331ON#�GG0a6744 E�F'IRES Jyae2{,2020
Revised 11/1 EXPIRES July 31,2020
RERMIT# ISSUE DATE
PLANMNG& DEVELOPMENT SERVICES
Building &Code Compliance Division
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JVL 312Q117 BUIIWING- ERMIT
SUB-CONTRACTO 1R AGREEMENT <;
- ,If
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have agreed to be
(Company Name/Individual Name)
theSub-contra for forr
(Type of Trade) (Primary Contractor)
For the project located atr
(Project Street Address or Prop Tax ID#)
It is understood that,if there is an change of status re and our artici ation with the above mentioned
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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.
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CONTRACTATURE(Quatifxer} UB-CONTRACl'OR SIGNATURE(Qualifier)
PRINTNAME PRINTNAME
COUNTY'CERTIFICATION NUMBER � COUNTY CERTIFICATION NUMBER
State of Florida,County of .l�-i�'tl�t ;'? -State of Florida,Countydf t 11li+G�(1 Ku-Q..('"
The foregoing instrument was signed before me this day of The foregoing instrument,was signed before me this day of
v 201 by 05k a �c�.r7'Zac �,� �.)t 7 __,201_1 byTa L f'j t L`)
who is personalty known-K—or has produced a who is pe onally kn r has produced a
s I tification. as identification.
Aq )TAMPSTAMP
S atur6ofNota lic i Sighatu fNotaryPublic
Print Name of Notary Public Pr t Name of Notary Pu
�++"•: •., RENEE E EiSWERTW �j;,;yr , WMBt FiW FIUtltOW
'• 'i MY COMMISSION#G0016744 = WCOMMMI&IFF9lMI)
Revised I � s° '
Was: 2Ii2�i
''•r9S.• EXPIRES Juiy.31,2020 ''aoseo°,r• EaldeQllwNotu' "L
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