HomeMy WebLinkAboutSubcontractor Agreement E
f ISSUE DATE
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PLAINING.&DY MLOPAIENT SERVICES
Building& Cade Compliance Division R E C .UV
ED
soma-Co�c OR GPXX MT FEB 2 7 2017
St.Lucie County Contractor Cmtification gumber.. i
State of Florida Certification Number q&0 licAie).
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(Company Nam }lave ae/IndiAdual N greedto bethe
(Type Trade)l V1 Sub-contractor for-Faxy-a W C�Y1�.
ftim ry Contractor) "r
For the project located at .Q Q —4 t,-1y—xAty—TLa—x1D
\l IJ � �„�- lop,
(Pmj ' Street Address o #) —
It is understood that,if there is any -hauge of status i garding our participation with the above mentioned
Prolk Iwill immediately advise th Building and Z1,oning.Department of St.Lucie County by filing a
Change of Sub-contractor notice.(F mx SLCCDV(NoJ004-00)
BUSMSS QUALB71ER (N of the Individual shownonthe Contractor's License)
NOTARIZED SIGNATURES ARE F EQuIRED
Business name: can -�-r�i
14�Z 1 T
Address: �Y��, f�P -
Phone: V-1 e�:
A PRINT NAM D
ATE
STATE OF FLORIDA,COUNTY OF cu V•e,.(
xHE FOREGOIlYG IlYST8IIII+IENT W SIGNED BEFORE ME THIS z� DAY OF �J 20 � f
�er.0
BY cky-n-e-5 1 S l 7� . 'WHO IS PERSONALLY KNOWN- OR HAS
PRODUCED I AS IDENTIFICATION
$IGNATUBE OIL NOTARY PUBLIC PBINT NAME OF NOTARY PUBLIC
SLCPDS:08106/2014'
RENEE E EallSERTH I
my coMMISSION4 0GO16744
•` EXPIRES July 31,2020
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PERMIT* )6-/v ISSUE DATE
PLANING&DE VELOPMENT SERVICES
*UNTY
Building&Code Compliance Division
BIIII�ING PERMIT
SUB-CONTRIA,CTOR AGREEMENT
St Lucie County CorAmmor comcation Number
110m of Florida.CervEcation Number(ifn pu,,bt.X
have.agreed to be the
(company N.aim0nXvidudl Name)
f'_ C3t_ l C Sub-coni6dor for T['JI r ca VLl C-0 T 1�A—r-u Gt'l Cs�
flppe of 1rade) (Primary.Con=mr)
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For the prof ect located at 2 O 0 P j 14 U n i+ 10 i4
(Prnj Street Address or Property Tax ID#)
It is understood that,ifthere is any Dhange of status regarding our participation with the above mentioned
project,I will immediately advise the Buildingand Bonin D ' artment of St Lucie Co b film a
g eP County y g
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Change of Sub-contractor-notice. (F mm SLCCDV(Na,,.004-00)
BIISINESS
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AIHI R ame of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE QUIRED
Business Name:
Address:
City/State/Zip:
'hone:
_ smolt: •1 Y� o C�,n.Sfi-�u.c�i on.
SIGNATURE 2..1 � 11
PRINT NAME I DATE
STATE OF FLORWA,COUNTY OF `1'1 ck►Ou-1 lZ.�.Q
THE FOREGOING 7NSTRIII T W SIGNED BEFORM N M THIS 2 L4 DAY OR .P� ,20 L-1
SY �C3 10 L_-e_VA.S i-S
WHO IS PERSONALLY KNOWN k OR HAS
PRODUCED AS IDENTIFICATION
(STAMP) I
SIGNATURE OF NOTARY PIIBLIC PRINT N�1 OF NOTARY PUBLIC
SLCPDS:08/06/2014
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RENEE E EISWE RTfi
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MY
COMMISSION.0GG016744
FXP RE$July 31.2020 _
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