HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual
the
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
For the project located at 3 D 4
(Project Street Address or
Tax ID
(Primary Contractor)
have agreed to be
34q? a -
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.
p ,, ^, ,�IGNAT (Qualifier)
PRINT NAME
Ik
CO Y CERTIFICATION NUMIBER
State of Florida, County of ST. I V-
Thhee foregoing instrument was signed before me this day of
aLQL' , 2Q,,Qby —SA it Of ` p who is personally known _or has produced a / C-
as identification.
Signature of Notary Public
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Print Name of Notary P blic
AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
EXPIRES' March 6, 2023 ;
Revised 11/16/2016 ublicUndes\v, r= ;
", Bonded Thru Notary
„ OFF �.•'
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
N La .
coUNTV CERTIFICATION NUM 3ER' A q 1 p
State of Florida, County of � I +' 1 V,(i�
The foregoing instrument was signed before me this day of
20jtby 19.
who is personally known or has produced a 1 l
�C.
as identification.
AMP
Signature o*NotaryPublic
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Print Name of Notary P blic
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;oinnriuc,
AUDREYB.HUMPHREY
MY COMMISSION 1k GG 300817
EXPIRES: March 6, 2023
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Bonded Thru Notary Public Undem'r !
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division V_
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lb A-0_7Y'D/U have agreed to be
(Companv Name/Individual Nan%)
the T) u Y-' )b ' in/1 - Sub -contractor for
(Type of Trade)
For the project located at > D If
(Project Street Address or
(Primary Contractor)
ID #)
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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.
� R SIGNATURE (Qualifier)
*� �`- At-6- ( —L S c_ l 0
PRINT NAME
C Y CERTIFICATION NU
MBER
State of Florida, County of SL
The foregoing instrument was signed before me this —1 day of
who is personally known or has producedC
ac irlrntifcatinn_
AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
Revised I t/6I� EXPIRES: March 6, 2023
;pr?Q
BondedThru Notary Public Underwriters
SUB -CONTRACTOR SIGNATURE (Qualifier)
GAL Sc c a
PRINT NAME
COUNTY CERTIFICATION NUM 3ER ' +
State of Florida, County of(r/ •v
The foregoing instrument was signed before me this day of
20APby ac- 1 ' b
who is personally known _or has produced a 1�`
as identification.
Signature of Notary blic
Print Name of Not ry Public
_ yP�A '
AUDREY B. HUMPHREY
4c
*. * MY COMMISSION # GG 300817
':?;•. EXPIRES: March 612023
for P`O' B'
onded 1hru Notary ry Public Underwriters
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ISSUE DATE
PLANNING & DEVELOPMENT SERVICES QZcS
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address or Property
have agreed to be
(Primary Contractor)
Fly FL 3 V�,e v
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.
R SIGNATURE (Qualifier)
PRINT NAME
N 4--
COUNTY fCERTIEFICATION NUMBER
State of Florida, County of � `L e)
The foregoing instrument was signed before me this day of
z SbyZ�MQ1
who is personally known or has produced a Z
as identification.
Siguature of Notary Pub r
CD- 1A Print Name of Notary Pub c
IGNATURE (Qualifier)
PRINT NAME
VY 1A i
COUNTY CERTIFICATION NUNIBERState of Florida, County ofThe foregoing instrument was signed before me this � day of
,20_, by
who is personally known or has produced a
as identification..// / L ALn r.nl t�/•�� a4l _ dh. STAMP
Signature of Notary Pylb�eVCIC
Print Name of Notary P lic
AUDREYB.HUMPHREYAUDREYB.HUMPHREYMY COMMISSION # GG 300817
MYCOMMISSION# GG 300817EXPIRES: March 6,2023Bonded Thru Notary Pubfc Undenrrilers
EXPIRES: March 6,2023 c=:
Revised 11/16/2016
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Bonded Thru Notary PuRc Undenwders