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HomeMy WebLinkAboutSub-Contractor Agreement%,yam, — PERMIT# � � � � ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RF�F�F BUILDING PERMIT Pen O SUB -CONTRACTOR AGREEMENT ps�/l�jn ��QeO@pa c°` ty ens have agreed to be (Company Name/Individual Name) the 9'[P N_ft" t L Sub -contractor for 10itiffl pe-( )$p g (Type of Trade) (( (Primary Contractor) For the project located at 3� S`e�U'l©1`e �� Q (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. Luwill be advised pursuant to the filing of a Change of Sub -contractor notice. cie C t z t COI TRA OR SIGNATURE (Qualifier) SUB- NTRACTOR SI ATURE (Qualifier) PRINT NA P NAME �i • COUNTY CERTIFICATION NUMBER State of Florida, County of _MaA The foregoing instrument was signed before me this ( day of Nov 20_6 by who is personally known �`-or has produced a as identification. Signature of/Notary Public bSa- i .5errgtvtt) Print Name of Notary Public Revised 11/16/2016 ,cc t k'?:>l5 COUNTY CERTIFICATION NUMBER State of Florida, County ofP_ The foregoing instrument was signed before me this J , 204 by who is personally known VI/or has produced a_ 7,1 day of as �entincanon. :.���Xv ►v��i AP ,g STAMP :;o Notary PublicD-I9i p prlc Sig a of ary Public "s,+� 'P� mrnission # GG 91 MY Co.9618 mmission Expires ces U October 1 2023 Print Name of Notary Public Syr"r� •., LISA JANE SERRANO $*. Notary Public - State of Florida Commission # GG 930079 '� orb°• My Comm. Expires Nov 7, 2023 Bonded through National Notary Assn. PERMIT # n � gam, 55D ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) It the PILWAbmc Sub -contractor for IPrf ° M (y_c Pao I's e� ' (Type of Trade) ff (Primary Contractor) For the project located at SW? &iyllln.0l e)'Ra (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. T COi TRACTOR SIGNATURE (Qualifier) PRINT NAME Gpc,145 (�33 COUNTY CERTIFICATION NUMBER State of Florida, County of At The foregoing instrument was signed before me this j�/ ( day of /\/ O\/, 20 / by &_Y, _5 ! 1S who is personally known 1X—or has produced a S CONTRA R SIGNATURE (Qualifier) K U) '�f,)s PRINT NAME Cs� As2!eg S COUNTY CERTIFICATION NUMBER State of Florida, County of r The foregoing instrumentwassigned before me this�� 7 day of J V ,20/ (,by Ron �'IlS who is personally known or has produced a as identification. dentification. r'%•. LISA JANE SERRAN0 Notary Public State of CotSifii om # GG 930079 i Signature of n o ary Public '•.,• oFt�,• ` My Comm. Expires Nov Florida7, 20 g ature of No ry Public l Bonded through National Notary Assn. Srrc(,LJ )5t . Print Name of Notary Public Print Name of Notary Public Revised 11/16/2016 ..r� •., LISA JANE SERRANO Notary Public - State of Florida `i {ommissW 930079 '•'� oFr� My Comm. Expires Nov 7, 1023 Bonded through National Notary Assn.