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HomeMy WebLinkAboutSubcontractor PERMIT r—]- 0,S SSUE DATE v / LJ i PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • BUILDING PERMIT SUB-CONTRACTOR AGREEMENT _ // /�/�,JhA4 IJD411 ..-. .-have agreed to be om Narnaindivtdu Name) the �w...— I Su -contractor for (Type of Trade) (Primary Con ctor) For the project located ai ^ 9 s5b 's Tly? (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 riling of Change of Sub-contractor notice. tJ , co,vMcroit A RE tQtia�rJ sU RACTORSIGN R ustifrerl V PRINT NAME PRAM AP6% COUNTY CERTIFICATION`NUMBER � COUNTY CERTIFICATION T[ NtMISER Statt of tlorida.County of �`�'s'��- State of Florida,County of 6 c'c l C, The foregoing instrument was signed before me this al day of The foregoing Instrument was signed before me this,21 day of 20_0 by --- _ Ci I 10t5 by who is personally kno%n_or has produced a who is personally known I,or has produced a ideatiffcntion, ea ion. STAMP ignature of Votary Public Signature of Notary Public C r� r � 9LAC Print Name of Notary Public Q Print;Name of Nots ry Public EDWARD KOTCN Fussy AIRI N RUTIEN gbnoju1 papo9� �pvr ac4 , ttptary Pubk- e0d gi 2017 ao�i ;o�. 6bZLLl j3#uolsslwulo� ,d* ;*�; f_ I,+IyCon►m• #fFQ27328 Revised I In ItZ'pZ Bap sajldx3'tuulo�/W? = o, •*1�a== �i� Gonat Notary�. eripolj}o alEIS-ollQnd AMION "- ,a o :''E aid � Bonded r Na I PERMIT Of -7 • 02 O ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES �COUNTYBuilding& Code Compliance Division if L • BUILDING PERMIT SUB-CONTRACTOR AGREEMENT TG ,J- ,01,U eAyyAy- have agreed to be (Company Namellndividual Name) I ""��"" the ct-,w f,r GJ Sub-contractor for MQ Mt Ct" Cu u A40 /c•o(�c ct4 ('type ofTrade) (Primary Contractor) c155 t� S. P UL I �047 For the project located at _ (� �r (project Street Address or Property Tax 1D H) © „J.• EN SEA� A,GA 6� t It is understood that, if there is any change of status regarding our participation with the above mentioned y9 � 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. — ---- -- - C'�ON""TRACTD MATURE(Qualifier) Sl, CO 'fRA tGNATURE(Qualifier) �_ l%/�/��2 PRINT NAME PR117 NAME 1��S7S COUNTY CERTIFICATION NUMBER COLMY CERTIFICATIONcN(UMBER state or Florida,County of— � State of Florida.County of ST U-I- �} The foregoing Instrument was signed before me this o!0 day of foregoing iastnmrat was Sig° 'efor'me thi� r day of e :o�b, `1 A(U.V i1(AA.rI/_�, who is persoaally known_or has produced■ who Is personally known_or has produced a entification. as lification. STAMP STAMP Sig tore•(Notary Public os a of Notary Public (4 1 likki 4 o Print Name of Notary Public Print Name of Notary Public COLLEEN KENNA oto ""A LASHAHNAINGRAM NotaryP "to of Floods Notary Public-State of Florio COMMUwFF 15972E _•« * -P;ly Comm.Expires Dec. s$tlpt 11,2018 Commission #FF 1 Revised t III