HomeMy WebLinkAboutSubcontractor Agreement ,
PERMIT# ISSl1EDATE
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BUILDING' PERMIT
OBg CCINTRAAGREEMENT
1., L- have a "reed to;be
Corn an a?\rainelIndividual` JaM1 -
P Y .
the Sub-corltXactor for
0*0 Contractor):
" t ated at j o ect I e
for.he pr o
- � '. (Project Street Address or Property Ta�ID�) �r .
It"is:;unde5toad that,if.there;isany change of status regarding'our participatiori��,ith.the,abovenenti'one'd:
{ project,the Bullcl ng and'Cod'e:Regt6t for-Division of St:Lucie Cptinty wllt be advised pursuant
to t e
fling ova C}Iange.of-SuU-coritracttir•notice.
,
�Q. , ..) Stl COh7`R4CI'O. ,T(.kAT 3R',(QnAlitier) _ ..
i. TRACTOR SIGN�TTtTtE. vahfier. - ,
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}?T2Tz IT h 4ME: PRI1'T'NAME
COUNfY GER IFICATION NCJIVIBER; COUNT:VCERTIFICATION? UMEER .
` State otFlorida,County of .4Ot,\Q "
•" State-of;�loridn;County of�`�!�
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The'forego�nb rigtrument:wassignedbel!forc.m�ep-this 1 day of The foregoinginstrumentwassignedbeforeme:fhis:�� da;=of
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whq is personally known_or has prod need a- who is persouaft know��. 'orhas-Pro duced u;
A, as rdenAtcattoq
a as identification.
V° DEANWAI�ifG Rf., Tt: DEfV1$E 8A� b t1:N .
WE ! a" >'� hM a Comm'issr9E pS 4237
S3 nature otnrgm Fuk rr: COMMIS G(G2Gt2.
g- osd�Q� BondedlRES:beUmbecUn Srgnatuce"of otaryPu6lic sue, cr" MyCommrssiopExprres
2020
.. tart', denvrt r `eitir .1t1t10 27; 2020 .
Punt:=,Name o�NptaryEpbhc �'`, " � nntName ofNotary3'"u�lic -'
Revised 11/i61?016-
R E C E I VE&APR- 04.7-017
PERMIT* ISSUE DATE
. 1-� �a'1
PLANNING $i DEVELOPMENT SE 2VICES
BRatildine & Code Compliance Division
f
BUILDING PERNNIIT
_..:" SUB-CONTRACTOR AGREEMENT
�."E efJI,S,�nCC CtSteb �- have agreedta-be
ti
(Company Name/Individual Maine)
the a Sub-contractor for
(T:ype;of Trade) (Primary Contractor)
For,the proj,ed d ated at
(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,#he=Building:and-Code:Regulation Division of"St..Lucie County, will be advised pursuant to the
fiimg"of a,Chalage of Sub�contr-actor potiee.
CONTRACT -SIG TURE Qualifier)• SUWCONTRACTOR NAT ualider
PM-r NAME PRINT NAIVIE
-zgy4 .3
COUiVTY CERTIFIGATfQN,NUMBEW COUNTY CERTIFICATION NUMBER
Statevrho-rida,Countp of ale ` State of Florida;:County of
going-instrument was sigged:;before me this day=:of The ioregoing instrument.was signed before me this= � ld�aykof
1cz-
q �� .. � 20D�.by
who is'personall ;, -.as kt 1E•'i"`' wbo.irpersonally Irnonu or has produce&a
ot�.r�"° •- MY COM4SSION bet 1ti 2p20
as;identification, �S;peCeit
i,? ? t tots as.identificatfon
NolatyNb% nderv+d
STAMP STAMP
. .. Signature of No . ._►c; _ ° `" S�gnafureo ty:P. �c
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FRMIT# O3 0 ISSUE DATE
w a PLANNING& DEVELOPMENT SERVICES
Building& Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGRI FiV ENT
(kmer u s Pj a tY1bj. have agreed toybe
(CompanyName/individuat�Na )
� j.0
the t tY1� -1 t Sub-contractor for '\Ick
(Type of Trade) _ (Primary Contractor)
For the project located at :) t:'l`vt.,{L- r9 DZ
(project Street Address or Property,'Tae It)#)
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
Change of Sub=c tractor`notice.
CO CrORSIGNATUR (Qu' flier) SUP-CONTRACTOR SIGNATURE(Qualifier)
r -
V VC O I�C k- .�Yl1`� U y�r + i5u
PRINT NANw ` PRINT NAME
COUNTY CERT&i-5A r[ON NUIN F;R. COUNTS CERTI.ICATiON Nf'1'IIIER
State of Florida,County-of 5 ice__C�t State of Florida,County of
The foregoing instrument was signed before me this.50 day of �o The foregoing;instrument was signed before me this3 _day of
iq lI
who is'personally known or has Produced a _ who is Personally knownJ or has produced n
as i entifieatioo. as identification.
STAMP _ STAbIP
Signature of Notary Public nature of NotaryPublic
PrintNameof Notary ublic Print,tiameof Notary Public
KII�ERLY KOCFI � , isf
MY COMMISSION t!FF076660 , *' t� 1't G011"f,s '),j F 9t
EXFIM:D,�m 15,2017 d r [� o '
�'�� X,1R��Ju'y 7�,,2i1t9
w .s,s
Revised I:I!
a".f.
,
REfZMIT#' ISSUE DATE
ti f PI.ANI�T NG &DEVIEL�PME T'T SE VICES
�.
R1q j Ong,& Cod,c Co op rance D►ivision
:. m BUILDING PERM,T,
S.7B-CUNTRACTQIt AGREEMENT
have agreed to be,
(Com any Name/tndiNi1, al 1Tarne)' '
co-Subntractor for
.
(T,ype dTrade} (Primary,Contractor)-
For theuproTect located at, J ?vC7 � ;
(Project Street Address or"Prop Tax.11)4)'
It,Is understood that,if there�s any change of;status:.regard ng our:part c patzan:witl the above mentioned-'
project;.the Bullding and Cade Regulation DIvision-of St.Lucie County will be advised pursuant t6 the.
filing of 410 ange of Sub-contractor°notice.
CONT CT R S NATURE.(QuRimer.)• SUB-CONTRALTO. ;S> _lV
;PRINT NA?V1R PRINT NAME
: 33 ac
-COUNTY CERTIFICATION NUMBER, COUNT TY CERTIFICA:TION NCIMStP.
State of Ftorfda,County of-` `C p State of Florida,.County of s�
The forcgoxng,anstrument:was sfgned:before me this daY of The fore.going pstrument'was`sighed,before me this:_-day:of
JA
upot1011 by
tyha is per.`sonallYknowniar hasproduceda who is;personally knownor-has proiiuced;a
as.identielcation. as identification.
AAN STAMP 4K.. o o ,
Signatu.`;LNo "ry:utili Signature o%, Aidiry.P is 2q,
m �
klef� �-
PIJ uf
Name ..Notaiy"-,ubt c Print Name of-Notary Pd ;c` i;V
MY COMMISSION#F0076660.
EMUS:D=ember 15,2017
Revi4ed-U/162416