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HomeMy WebLinkAboutSubs I I PERMIT# �� w ISSUE DATE i ' t PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division D D I ........ __. BUILDING PERMIT K?�s rbn- I# 17 a I- Slam 8 SUB-CONTRACTOR AGREEMENT I I A- have agreed to be (Company Name/Individual Name) the ZJ, Sub-contractor for 61�mlyk, CID VVA .� (Type of Trade)0 (Primary Contractor) For the project located at 000( — 936 - (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. &I CTOR SIGNATURE(Qualifier) SUB-CONTRACT IGNA (Qualifier) I j PRINT NAM PRINT NAME Clc 1S0s(z"7 ACCt3L� C) 3 COUNTY CERTIFICATION ER COUNTY CERTIFICATION NUMBER State of Florida,County of ^ State of Florida,County of S\ LXA c -e The foregoing instrument was signed before me this D day of , The foregoing instrument was signed before me this Lday of IP,�if— by ©� DIn191�t' ,201-1 y ��a�1 1/V�l�-c who is pc y lm w as pro aced a who is personally known or has produced a as ideqWfication. as identification. tij�� ti�l//BAf rP 5 g Na Si o g o c 12ry CD #;FF/o 22434 Print Name of No Pub -b r Print Name of Notary Public q .,7 r r 'a l�ldt/Sctl ,;e'' �i q\�1 STA i E DF ''/1!!o.lt f i14!!llo�+ti� Revised 11/16r1016 AUDREY B.HUMPHREY COMMISSION#FF 174772 <= EXPIRES:.March 6,2019 oc'QP`' Bonded Thru Notary Public Underwriters i i PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT MAS r byL- t± 1-10 1 0 5-(.e SUB-CONTRACTOR AGREEMENT have agreed to be a ellpividua l Nam the mu11C Sub-contractor for (Type of Trade) —(Primary Contractor) For the project located at (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. ON CTOR SIGNATURE(Qualifier) \51,Qt-C6NTAACTM SIGNATURE(Qualifier) Ld 0 PRINT NAME INT NAME (feAc_ a�q 4-� COUNTY CERTIFICATION NUMB R COUNTY CERTIFICATION NUMBER QJ/ State of Florida,County of State of Florida,County of W day of The foregoing instrument was signed before me thiqC::;:*�� day of The foregoing instrument was Sig d before me this 0 a' .instrument a ne'ore 20 ,by b* (W),(df LA _0 byDLJU ll� ()+zJ[C 200,b), L91--i 20 who is person no n has pr ced a who is personally La 1//or has produced a as identification. as identification, AMP Si 2tur., VIP ot'Nota P blie --Sig"naturelff Notary Public Print Name of Not PuWC Print Name or Notary Public -A y y Nicole L Ramsey NOTARY PUBLIC o STATE OF FLORIDA AUDREYB.HUMPHREY Comm#G0045 MY COMMiSSION#FF 174772 29 Revised 11/16/2016 EXPIRES:March 6,2019 Expires 111/2/2020 Bonded Thru Notary Public Underwriters PERMIT## ISSUE DATE I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • _ ......_. BUILDING PERMIT p%,rb-eL- 701 - 0 S $ SUB-CONTRACTOR AGREEMENT ti 1 a ( om any have agreed to be ame/Individual Name) �� the i r `i� _ Sub-contractor for c-n n' r (Type of Trade) (Primary Contractor) For the project located at -JJ— 3(-F0°1— t l l — OOc� — O 3 O�l (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. i i _Z060RACTOR SIGNATURE(Qualifier) ¢r$ SUB-COi' O S G TURE(Qualifier) was— f f �1 PRINT NAME "' w z�z PRINT NAME i �-o s- 7 4C Qba~ COUNTY CERTIFICATION NUMBER m COUNTY CERTIFICATION NUMBER State of Florida,County of ;o�•`''`'aw State of Florida,County of St Wc' 2 The foregoing instrument was signed before me this �° he foregoing instrument was signed before me this N-day of /"e&"— 20/7.by t77vV�7' DL� 20 n by I who is rsonally known or has produced a �pL,,o..l own_or has produced a as identification. as identification. TAMP STAMP Signature of Notary lie ignature of Notary Pu% LCTRdLi Print Name of Nqfary Public / Print Name of Notary Public 441 . RHONDA LAFFERTY MY COMMISSION#GG058720 Revised 11/16/2016 ',?oo�t�,o?iy�' EXPIRES January 08,2021 i