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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT.# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT i(C have agreed to be (Company Name/Individual Name) I � �� the Sub -contractor for s5D e ,! jZe— (Type of Trad�c (Prim tractor) For the project located at 1:2Ji19 67— 6 ® I+— ©! Lf 3 — © V o -- S (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. dl4li? z46_4o�� 9?--- - CONT CTOR SIGN2fteRE (Quali r) —x>Vyv-, C�eOa' A:P PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 61 `e The foregoing instrument was signed before me this ,2/ day of T , 20 ZCby 50 who is personally known or produced a as %. 1 N, y Public 1[ f., �o►` •V�^ . Notary Public State of Florida Sophia Hams My Commission HH 005263 ae,ef► Ezp1re30513112024 Revised 11/16/2016 x (; : 2, A ': � " - SUB-C CTOR SI/GNAT RE (Qualifi ) ayr� PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of �i The foregoing instrument was signed before me this L/ day of ,20 , by � O who is personally known _ has produced a as identification. STAMP STAMP Signature ^ftaryPublic c Print Name 5f Notary Public i 'O! V NotaryPublic State of Florida ? �; _Sophle Hams . :WCommission HH 005263 �1orM1d� Expires 0513112024 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/Individual ame) the N106 n / �A, Sub -contractor for (Type of Trade) have agreed to be 4,,aq, zlk &-6-w 4, (Primary CTontractor) For the project located at 621)1 0( �-5 '-0 QV — (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. CONTRA OR SIGNAT (Qualifier) y\ PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of �vC I � The foregoing instrument was signed before me this �t day of 20�Jby .,� O i(\NN &W q %F-K9, J who is personally known has produced a as identification. Signature Sf Notary Public 4rk &D P Print Name of Notary Public �g N Notary Public State of Florida Sophia Hams +� My Commission HH 005263 Expres 05/31/2024 J SUB -CON CTOR S ATURE (Qualifier) i dr,he yS PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me thisy2iday of Sz' ,20�by�c�64 isU4N,j9S who is personally known _oor has produced a aside ' ►cation. A STAMP Signature ofNotary Public Print Name Sf Notary Public v R% Notary Public State of Florida a�y; Sophia Harns My Commission HH 005263 Expires Q513112024 �111 101 '