HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
OO)s b,
(Company Ikz
the 1P I u 1-r.b ).N
(Type of Trad
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Div SIOn RECEIVED
BUILDING PERMIT N 0 V 2 6? 0' Q
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
C2eQ .. //feel/ W i
have agreed to be
Sub -contractor for Po d i S h y � (2 GT ' _7:W/a-
(Primary Contra tor)
For the project_ located at �!Ytn U6 hY'JM W 4-f-, VI au
(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 Buildi g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change f Sub -contractor notice.
CONTRACTOR, t
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PRINT NAME
Q F3 -21
COUNTY CERTIFICATI N NUMBER
State of Florida, County o
The foregoing instrument was signed before me this A day of
2019 by Ito A" WLtw
who is personally known or has produced a
as identification.
STAMP
Signature of Notary
,Y P(� Notary Public State of Florida
=0 40 A Thomasina Bowins
Revised 11/16/2016 Q my Commission GG 201733
��' of n Expires 0312912022
SUB -CONTRACT IGNAT E (Qualifier)
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PRINT NA
op R^3-?%
COUNTY CERT ICATION NUMBER
State of Florida, County of 51 Lucie
The foregoing instrument was signed before me this 0q day of
20 � 1, by
who is personally known Y—or has produced a
as identification. y�
STAMP
Signature of Notary Public
Print Name of Notary Public
J
No
X§iEj
te of FloridaG ins2 201733
e
the
PERMIT #
4
(Company N
C-' IF C 7-
(Type of Trai
For the project
It is understood th
project, the Buildi
filing of a Change
2
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance PivisiCETVED
BUILDING PERMIT N 0 V 2 6 �I o i 9
SUB -CONTRACTOR AGREEME T
ST, 6691de C_Cwnty, Permitting
%2iClko0lierl-
ividual Name)
tC/tL
have agreed to be
Sub -contractor for 1 061 _Q
(Primary Con actor)
at )ffin_-�mU `i'`t : NX0—
(Project Street Address or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
ME
lzvr�i
SUB-COrrNT SIG RF TU(Qualifier)
Rob er7_
PRINT NAME
a�-3 -?J
I
3N NUMBER
/ 98yF
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATI
State of Florida, County o
�hQ -
State of Florida, County of51 Luc -e-
Th/e�forrregoing instrument
as signedbeforeme this day of
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The foregoing instrument was signed before me this A day of
20
, by �,Y �l ili l
, 20, by
who is personally known
or has produced a
who is personally known ,or has produced a
as identification.
as identification.
�
—�v STAMP
STAMP
Signature of Notary Publicnmmwwok
Signature of Notary.Publi
Iyh
lic
`
Print Name of Notary Public
Print Name of Notary Pub
Revised 11/16/2016
e`t�v Pv& Notary Public State of Florida '
i:< e A Thomasina Bo
tr u•<=: s nn 201733
r P
q4 P °R� Notary Public State of Florida
4,� A Thomasina Bowins
° 9~. I� (;M, Em mires 03/29/2022
,. <,. w My Commission GG 201733
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Expires 03/29/2022