HomeMy WebLinkAboutSubcontractor Agreement 1
PERMIT# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
L -, i Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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CO kA17-�' 14 have agreed to be
(Company Name/Individ"al Name) �f'
the }f/k CCU A)D I�/ G l✓/�G Sub-contractor for </O n J (,�c!� s (�U Yl s��u�/-�on '�
(Type of Trade) (Primary Contractor)
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
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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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1! CONTACTOR SIGNA (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Ka M Lf Yu n
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
n COUNTY CERTIFICATION NUMBER
State of Florida,County of �%LCC.C1 ci State of Florida,County of
day of The foregoing instrument was signed before me this / y day of
The foregoing instrument was signed before me this U
zo by AOL- ./� 200 by Kum Yu.t_ k/'AA/
who is personally known zo
r has produced a who is personally(mown or has produced a
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as identifi a' u. as identjllc ' n.
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STAMP � STAMP
Signature of Notary Public Signature of Notary Public
S7FV6N5
Print Name of Notary Public Print Name of Notary Public
P kradiA STEVENS
:y MY COMMISSION#0G023715 PATR(CIA STEVENS
'• os:�;°`' EXPIRES September 19,2020 MY COMMISSION#GG023715
, ;�
EXPIRES September 19,2020
Revised 11/16/2016 • ' "�
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PERMIT# ISSUE DATE
r � R PLANNING & DEVELOPMENT SERVICES
t3 .., �
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Co pany Name/Ind'vid ame) �( (�
the �,� '1 C_nI i Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at UU� �G_ _ T.�z.• , u-�_ tom__ jSLL�
(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
CONT OR SIGN URE(Qualifier) CONTRACTOR SIGNAT (Qualifier)
PRINT NAME PRINT NAME
CD c 0&0gf 2t �_-70o
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of. 7 LitC/e State of Florida,County of�1
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The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this—M day of
TO-A k&ry ,20fl,by Qo A A J Ito 6 20_LJ by�1, -r-1' ylycl-,L-
who is personally known./—Or has produced a who is personally(mown ✓ or has produced a
as identificatio as iden'
STAMP G�yv�" STAMP
Signature of
Notary Public - Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
,►wYP�A pATROA S*EVENS
G023715 �!�
•: MY COMMISSION#G r�a� ',. pq'�'�ij�(+�a STEVENS
EXPIRES September 19,2020 d. MY COMMISSIO
EXPIRES September 19,2020
Revised 11/16/2016
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