HomeMy WebLinkAboutSubcontractor Agreement Mar 23 17,01:32p Dodd Enterprises(no. 77.2-335-3310 p.1
PERMIT# f Q a �5 3 ISSUE DATE / /3 ) •?
PLANNING & DEVELOPMENT SERVICES
` = - Building& Code Compliance Division
• � BUILDING PERMIT ECEWL
SUB-CONTRACTOR AGREEMENT 4AR 2 3 2017
Ce6 1 G't have agreed to be
(Company Namel[n ividual Na )
the_-A;'P Sub-contractor for 0C4 , �(kt`h
(Type of Trade) �— (Primary Contractor)
For the project located at 0 57 3 — UO01 — I
(Project Street Address or Property Tax ID#)
It is understood that if there ere Is any change of status regarding our partici
pation 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.
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CONTRACTOR SIGNATURE(Qualifier) SUByCONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME t�(
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION]NUMBER
State of Florida,Counh•of 61`Q f State of Florida,County of 7�
The foregoing instrument was signed before me thO 3 'day of The foregoing instrument was signed before me this a J day of
7.r who is personally known_or hus produced a ✓�� who is personally(mown has produced a
as identification 34 i-61
` as identification.
STAMP
STAMP
Signature of Notary Public Signature s[ otary Public
Print±\ameoClVotaryPublic Print Name of Notary Public
, SUZETIE RiTGHE
#FF061a66 a MY COMMISSION FF06166 6
` -EXP1RE5OcberY M ` M m12.2017
_ -
EXPISES December 12.2017
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alb (4071 3913-c1W FloridaNafarySerWCe.eom -^.
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 - Building & Code Compliance Division
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BUILDING PERMIT
MEOW SUB-CONTRACTOR AGREEMENT
�hGGao/�Qae/rn r---77c kL he6nr1 644 `-"L have agreed to be
(Coo any Name/Individual Name) ,� ��
the v✓7 "n Sub-contractor forAn:Jt.6�1 arm n /Wc,611 � 'A.S.-Sr
(type of Trade) G r� (Primary Contractor) l
For the project located at '(P O / J
(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.
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CONTRACTOR SIGNAT (Qualilfier) SUB-CONTRACTOR SIGNATURE(Qualifier)
h rl °� `�L° �6�s✓t C ��(G��l
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CE I ICATION M
State of Florida,County of 1 State of Florida,County of ( �
The foregoing instrument was signed before me this l day of, The fore ing instrument was signe4,6qore me this L3 day of f�
24-7,,by�v c>J C_k a '1' a—u \ 201 y h I 2 (�t l�
who is personally known o✓r has produced a who is personally known_or has produced a
as identification. ication.
C
Notary Public State of Florida
JSWAWd - ST
Sin ure of Notary Public \ e My Commission FF 163Signatur o Notary Public
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ofa�° Expire912512018 L�l is _
Print Name of Notary Public Print Name of otary P blic
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`„urnrgr
otr riv Poo,i ANGELA M HUFF
: Notary Public-State of Florida
Revised 11/16/2016 ;ac Commission#FF 234730
=rFroiF;o My Comm.Expires May 27,P019
Bonded through National Notary Assn.
PERMIT# I M ISSUE DATE
i !
- _ PLANNING &DEVELOPMENT Sl
Building& Code Compliance 1,,
BUILDING PERMIT {-
SWI-CONTRACTOR AGREEMENT
"/'mod Qldl�olldS �/ l"AJ1l�S �t/a have agreed to be
(Company N=Wbdividual Name) y�
the Sub-contractor fox
(Type of Trade) (Primary Contractor)
For the project located at AA;ko A ayt ,/
(Project Street Address or Properly Tax M#)
It is understood that,if there is any change of status regarding our participation with the above mentioned
i
project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
riling of a Change of Sub-contractor notice.
/ Z -
CONTRACTOR SIGNATURE(Quallaer) SuFCONTRACrOR SIGNATURE(QuWer)
JAW 69wews- J;;�
PRNwr NAM PRINT NAME
COUNTY CERTIFICATION NI111103ER COUNTY CERTMCATION NUM 3ER
state of Florlda,County of 6 .%.Oc'%k state of Florida,county of r��
The foregoing laetrnmeat was signed before me this s day of The foregoing Inkumeat was elped before me thii'L day of
20�3 by g\ctt i VNzoo,by j Q a,01 J
Nho•is personally known_or has produced a— .1-�Z who Is personally known�E or has produced a.
u Identmudom as ldentMesdon.
1 f
STAMP STAMP
811goature of Notary PahII Pub1lc•
PrlatNawe ofNo Prins .of o nbfie
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MG 022024
N • 16.2020
Bonc Underwriters
Revised 11/16/2016 JSNN�F�R H®w�i
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