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Home My WebLink AboutSubcontractor Agreement PERMIT# _ AT ; . ISSUE DE . �. �N PLANNING & DEVELOPMENT SERVICES r Building & Code Compliance Division • • ` DECEIVED BUILDING PERMIT SUB-CONTRACTOR AGREEMENT SEP 2 5 2017 PERMITTING St.Lucie County, FL le-,?-Z. have agreed to be (Company Name/Individual Name) the /7&6&1 C'ir Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at 1�` C7 y _/ ��Y Y T4ftxew c/ --el- (Project Street Address or Property Tax ID#) �-101" 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. CONTRA OR SIGNATURE(Qualifijpqglj� SIGN&TIRE(Qualifier) PRINT NAW PRLqT NAME i=G /14 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of�,„�/6 State of Florida,County of__L.V&1f' T this day foregoing instrument was signed before me thiday of The foregoing instrument was signed before me this day of 3 ?� '20 ,by ~ I�------*2° by who is personally known_or has produced a 'p'L who is personally(mown—or has produced a TN L_, as identi tion. as identification. STAMP STAMP 911nakureofNotaWftblic _ Signature of Notary Public r '8 2 11 ad ',5,dz4 Print-Name of Notary Public Prmt Name o otary Public KAIZEN S. NIELSEN ` Y ZrR PSB/ MAR(E51U Commission# FF 115637 NT.GERMAiN =� i► �* MY COMMISSION#t3G00B2D9 -s a My Commission Expires June 12, 2018 EXPIRES:June272b10 �,,,,,,�� _ i Revised 111W2016 ~ oxr�o�`o 6cndad7yag MtNoterySlMtu PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT RECEIVED SUB-CONTRACTOR AGREEMENT SEP 2 5 2017 PERMITTING St. Lucie County,f bhave agreed to be Rzlmhl,/U mpany Name/Individu ame) the ' ,�/. /)� /M, Sub-contractor for 9 C L 66A, X 12,-y1 L2/6/I✓ (Type of Trade (Primary Contractor) For the project located at IWAA, _41A4'11& (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. CONT CTOR SIGNAT (Qualifi SUh-C .NTRAC OR SIGNATURE(Qualifier) PRINT NAME PRINT NAME k�/I6�' )_Ist 4 SH COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of n� . State of Florida,County of T ,e fo egoing instrument was signed,before me fth�is / day of The foregoing instrument was signed before me this,�' day of 2012 by Ah or W'Yy 20/by AhAlf r wl[Coi personally lmown r has produced a wh s personally Imo _or has produced a as identification. as identification. —le,r STAMP STAMP Sign�atn e'of Notary Public Signdtdfe of Notary Public I Print Name of Notary Public Print Name of No ry P lie `. �•µY P•• `�tF,µY P i� JAVIER SANTANA o�P °e�' JAVIER SANTANA _�• +�; __•�+ _ Notary Public-State of Florida • _ Notary Public-State of Florida _•;�:•- r o; M Comm.Expires Jun 12.2018' z�: :o�c My Comm.Expires Jun 12.2018 • + P' y '�FOFF�op•' Commission # FF 131959 ''i•F OF F�UP��` Commission # FF 131959 Revise l7 D3 (YO (o c-, PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES s Building & Code Compliance Division 6 � BUILDING PERMIT SUB-CONTRACTOR AGREEMENT ��/ �� have agreed to be (Company Name/Indiv_id"ual Name) they 4i Sub-contractor for ,(sG (Type of Trade) U (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. CONTRACT IGNATURE(Qualifie SUB-CO RACT R SI AT ((Walifier) i'eav It erun'cy PRlrff NAME PRINT DrAME 0 0,2,?p' o COUNTY CERTIFICA N BER COUNTY CERTIFICATIO NUMBE State of Florida,County State of Florida,County of .« The�floregoing instrument was signed before me this I L day of The foor`e`going instrument�w7as signed before me this / dayof L , ` by In `-1.n !i( ,2 S by of ti who is person} �knownor roduced a who is personal known or has doted a as identification, � as identification. lfp/• TAMP \ AMP Signatu a of Notary Public Signature of Notary Publ• yy� Print Name of Notaryublic � Print Name of Notary Publi / �O;""Y PyAUDREY B.HUMPHREY °t ;= MY COMMISSION#FF 174772 a= EXPIRES:March 6,2019 no.•o? Bonded ThruNOWTYPublic Undenvriters AUDREYB-H UMPHREY Revised 11/16/2016 MY COMMISSIFF 174772 ON# LA `� BondedPhRES;March 6,2019 ru Notary'Public Underwriters l 1 7 PeRmr'# ISSUE DATE f ... t MND' IM PLANNING&DEVELOPMENT SERVICES Building.& Code Compliance Division , tr BVMDINiG PERMrr I SUB-CONTRACTOR AGREEMENT &W-efg- 6 &tre-*1e-,q-z Com► r have agreed to be (Company Name/! Fdividual Name) the � �� ;1 Sub-contractor for .��i' YYJG '� •.�' (Type of Trade) (Primary Contractor) For the praiecfi iocate4 at Ar, � 1 (Project Street Address or Property Tax IIS#) It is understood that, 1;there is any change of status regarding our participation with the above mentioned project,the Building E-A Code Regulation Division of St, Lucie County will be advised pursuant to the filing of a Change of�;ub-contractor notice. CONTAA3ftf,RIGNATW i(Qoil 0 — ^' I t�naFitiCr) I RAV 1 NtA PMT NANJE CUUM CEkf-jwICATION WM13ER COUNTY CERTIEICATION >E R State of k toHdn,County of,,q i tl f l e. Stgte of Morldn,County of�,y�,� The foregoing histrument wa'-signed belbre me+tbta day of The foregoing Instrument was Algtteid�before the this j dayof 4 J(qL 20 ,by . 'I a 0-41 who is personally known_ )r bus produced a � � who!s personalty lmown_._.,or has produced a� 4d", flan. as identification. f > o hie rrd' a STA141P— �^ STAW Signatnrc of a ry xubliC I'rlut ame aCNotRry I'uhlls �Ptamc o' otary public K PEN S. MELSFiN ;i► r.►•"F+ MESAINTIQ"I •�� Curnm�_<;:qn s!f 7 15�>37 �}iyigg 'ti My C'orrnmisSion E>:t}rrt, • * MYi;4 lGN�G@086209 June fig:, 7.Cifia or EVIRES:&MV2020 rr,,,:." Revised 11/16/2016 fop to'R Bon � .+�,er.� F �iTbug�BMkadryg�