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HomeMy WebLinkAboutSubcontractor Agreement , PERMIT# ISSUE DATE gg_ PLANNING & DEVELOPMENT SERVICES ' N - Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Co any Name/Individual Name) the C/ Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at EA-oQ6-,_16o:s.Ac_+ (Project Street Address o0 Pr erty 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 OR SIGNATURE(Qualifier)0 SUB-CO RACTOR SIGNATURE( 'alifier) u S �2/v C- - S(6-c--L-- TU (L/c- S CE—Z' PRINT E—Z- PRINT NAME PRINT 11 NAME U� I � COU Y CERTIFICATION NU BER COUNTI CERTIFICATIOJNUUlr�I�ER State of Florida,County of State of Florida,County of The foregoing instrume/ntt was sign before me th�d of The foregoing instrument was si before me th day of / 20/7 by f 20L by l� f r h is personally known h produced a -C is personally known o h s produced 1 identification. s identification. _QOA //)? STAMP ,b 44M ignature of o Pu Signature o Not y Public C�l 4 Print ame of N tary Public Print Name o Notar Public wed ts+r:^i''•• AUDREY B•HUMPHREY AUDREY B.HUMPHREY :g .. ; +: MY COMMISSION#FF 174772 ;*, += MY COMMISSION#FF 174772 Revised 11/16/2016 g EXPIRES:March 6,2019 N• EXPIRES March 6,201 9 ...... ' Bonded Thru Notary Public Underwriters od,ft bonded Thnl Notary Public Undenvrders PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 4 Y BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (C any Name/Individual Name) the I u Sub-contractor for (Type of Trade) / (Primary Contractor) ,L For the project located at l700 /00-_ 1a c_ Ps i. 3 7 d (Project Street A ckess 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. CO OR SIGNATURE ualifier SUB-CON CTOR SIGNATURE(Qualifier) PRINT NAME PRINT NAME N COUDkTY CERTIFICATION NUMBE COUNItY CERTIFICATION ER State of Florida,County of State of Florida,County of r—The foregoing instrument was signed before me thisXday f he foregoing instrument was sig ne efore me thisXday of 2017by 20/(,by n b", o is personally known_or has produced t � ho is personally known_o ha produced a ...(/r as identification. as identifcat' TAMP Nigilkture7of o Public V Signature of Notary Public fc 4' )7 Print Name of otary Public Print Name of Notaryublic 1 AUDREYB.HUMPHREYYe6 . AUDREYB.HUMPHREY Revised l 1/16/20 3a4 PY MY COMMISSION#FF 2p192 += MY COMMISSION#FF 174772 EXPIRES:March 6, , ,; EXPIRES:March 6,2019 t,_Public Underwriters '},ftF doe Bonded Thru Notary Public Underwriters Bonded TbruNo. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division ' COUN F BUILDING PERMIT SUB-CONTRACTOR AGREEMENT S ? �� V - C �� (.—� have agreed to be (Company ame/Individual Name) the rh p C h a y0) �' Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at QC) /4007_-_> ' (Project Streei Addiess 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. -tLl J CO CTOR SIGNATURE(Qualifier) SUB-COtftAACTOR SIGNATURE(Qualifie v5 _A, Z PRINT NAME PRINT NAME A— COUPTY CERTIFICATION NUMB] P C0UJrY CERTIFICATION NUMBER P State of Florida,County of State of Florida,County of The foregoing instrument was signed before me thisday of a foregoing instrument was signed before me thday of / 20L by ,20 by ( - is personally known_or has produced a ho is personally known or has produced as identification. as identification. AMP Signature of otary P c Signa ure of Notary Pub c Q 114 j - rint Name o Notary ublic �" Print N e of ota Public ��^�PssG• AUDREY B.HUMPHREY •`4�.Y P�Q!',- AUDREY B.HUMPHREY 'rq'• 4 _[+ *- MY COMMISSION#FF 174772 r MY COMMISSION#FF 174772 a. EXPIRES;March 6,2019 - EXPIRES:March 6,2019 '%F"5 Bonded Thru Notary Public Underwriters Revised 11/16/2016 +�` Pc 4f 1;``' pF' Bonded Thor Notary Public Underwriters PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division f BUILDING PERMIT SUB-CONTRACTOR AGREEMENT (, t ' r have agreed to be (Company Name/Individual Name) the ; no, , Sub-contractor for (Type of Trade) (Primary Contractor) j Q For the project located at 11700 ��� SC 7 G' -?�jl- ?77 (Project Street fkddress 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. X:L:� (2:J COCTOR SIGNATURE(Qualifier) 6 SUB-CO CTOR SIGNATURE(Qual ifl- ) PRINT NAME PRINT INAME COUNTY CERTIFICATION E /�1D© CO Y CERTIFICATION NUMBER ,�'b State of Florida,County of C"`� State of Florida,County o' P/Ir. e . v The foregoing instrument was signed befoCre me this day of Th regoing instrument was si ned before me this day of 20 ,by, l J 1 ,2017by ho isitification. personally known or has produced a `C_ ho s personally known or s produced a d..i s identification. hIVII' 4 STAMP Si ature of ota ublic Signature of o r Public —Al tint Name of otary Public Print Name of Nota Public f pUDREY B,HUM ffRe4772 pUDREY B•HUMPHREY �jr° MY r'()N%s arch fj 2'x'19 174772 :`y° :" XP1RE Unde� ers cxa�v1P��`t MY COMMISSlOa Ch 6 2019 E ES:M 'g' ondedThNNolaryPnbllc ' EXPIR Po61'cUndeiv+riters Revised 11/16/2016 � :A(„ft's 8 �1 —`�a BondedThruNO