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HomeMy WebLinkAboutSub-Contractor AgreementJ PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT yrr _lj��� (C7—c1=1111- ft&vidual Name the Sub -contractor for (Type of Trade (Primary Contractor) For the project located at woezrxelf 1�r �/ , l �E��� (Project Sheet Address or Property Tax ID 4) have agreed to be 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. PRINT NAME t\\ i, COUNTY CERTIFICATION NUMBER State of Florida, County of _ 1 V-o e The foregoing nwtr mlent was signed before me this j �ay or & 24gby ►7 C �11 i1) nQ who is personally Imown or has produced a 1 1 as identification. STAMP Sigrla of Notary c 4�06ZeQ �j�. Print Name of Notary Pubift Revised 11/16/2016 COUNTY CERTIFICATION NUMBER l State of Florida, County of �, C--) The foregoing instrument was signed before me this W, ' day of �+ 20 ly who is personally known or has produc as identification. STAMP Signature of Notary 'c dwDgg=� - 0-ct Print Norm of No" Pafifi, AUDREY B. HUM�PHREY `OSApY PUq(�Q # GG 30007 ' * MY COMMISSION 202S EXPIRES: M puol c 6nderrmtels Notary `•"fF q� Sded onThru or F„ PERMIT # I ISSUE DATE l PLANNING & DEVELOPMENT SER Building & Code Compliance Divi BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company ame/Individual Name) - the mb u' Sub -contractor for (Type of Trade) (Primary For the project located at S j y G IAA f 44/� Al j?'�61r%ZGE y (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation project, the Building and Code Regulation Division of St. Lucie County will be filing of a Change of Sub -contractor notice. (Qualifier) in A COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instnunent was signed before me this --LQ�1day of 2 y P � rrle who is personally ]mown _or has produced a ► L , as identification. STAMP Signature of Notary b 'e 4"-&q Vv Print Name of o ry h'c J •.;� YPL '' AUDREY 9. HUMPHREY ;=o.• ��: *. MY COMMISSION# GG 300817 A EXPIRES: March 6, 2023 N1• 0- '' �yF F °Q Bonded Thru Notary Pubfic'lJndenxriters . Revised 11/16/2016-- NAME lcm State of Florida, County of, Tlie,foregohrg instrument v ©a- , 2-L who is personally known,_ as identification. Print Name of have agreed to be th the above mentioned pursuant to the (Qualifier) hLo'c signed before me this) day of It- rr has produced a r L STAMP P!� AUDREY B. HUMPHREY .*_ MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 Bonded Thru Notary Public Underwriters