HomeMy WebLinkAboutSubcontractor Agreement .7Uan4V4I-ui-i�_vaaIvijpy
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PERMIT ISSUE DATE
YLANWING & DEVELOPMENT T SERVICES
)w =:'nyu1di:Ilg & Code Gomtialie I)ivisian
I3U"IT,I)I:�C I'ERs�fI'I'
SUB-CONTRACTOR t1C;REEMEN T
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have aarecd to be
( anipany.�aniefindividual Name) T
ttte ,�, ObIr Sub-contractor for(Type of Trade) (Primary Contrite tvr)
For the..praject.located at _ r-----
(Project Street Address or Property Fax ID#)
It i5 understood that, if.`ttlere is any ch,inge"of status regarding au•participation with the above mentioned
project,the Building and Code.Regulation Division.of St. Lucie County will be:advised pursuant to the
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filing,ofa,Chahge o[`Sub-contractor"notice.
CON'rRAC'rOR SIGNATURE(Qualifier) -CON"RAC"RAC0�'SIUNATUREJ�Q-
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PR1 rNA41E _ PRINT\A4[k:
COU;N'rY t;FR71FICA_T1 i'N Nt,341OER COUFNry CLR`rIFICATIt2tN�NUMBERState of Florida,County of State of Florida,County of�l�'f .5 horwa� ° n
The foregoing instrument was signed before me this dayof 'rho
toregoiag idstrwnent tt was signed before iic t`hfis��/ do
_.._..a20 2041by_
who is personally known—ar has produced a wbo is personally known—or has produced a
as identification. as nf` s film.
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STAMP ^'�_ a "AMP
Signature ofNotary public Sig tore cif Notary public
` P.rin.l.Nameof Notarv-Public Pi i n t Name of Notary Public
NEE
tites of Flonds
dgen HH 0002
Revised i1116,'�Qib Q2a
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PERMIT# ISSUE DATE
-- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
o -
- -- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
ORIGIN USA INC. have agreed to be
(Company Name/Individual Name)
the Door installer Sub-contractor for KEPP CONSTRUCTION LLC.
(Type of Trade) (Primary Contractor)
For the project located at
7300 Reserve Creek Dr. Port St Lucie, FL 34986
P J
(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.
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CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Raymond Frambes ORIGIN USA IN.
PRINT NAME PRINT NAME
CGC049815
COUNTY CERTIFICATION BE ^'�, COUNTY CERTIFICATION NUMBER
State of Florida,County of����/J State of Florida,County of
The foregoing instrument was s' ed efore me this day of
The foregoing instrument was signed before me this day of
,20z�by mt7n �m5 ,2U by
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who is personally known or has produced a who is personally known_or has produced a
as identification. as identification.
STAMP STAMP
Signature tary b i Signature of Notary Public
L0
Print Name of Notary Pub is Print Name of Notary Public
YP•" LOURDESCALDERIN
Notary PuSiit-State of Florida
Commission=GG 232�20
My Crmm.Expires:ur 25.2022
Bonded through Nador.a;tiotary Assn.
Revised 11/16/2016
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tucvc JGCIIGUL I-U I-IL_Uy.7I V4.I�13
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PER(VItT# L i O 1 _ b 1 (� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BOLDING PERNiTT
SI B-CON TRACTOR AGRI<ENMENT
Iye. -t?" d S _have agreed to be
(C:ontpany:mineAndividual Name)
the 0at^ 4C �- Sub-contractor for
(Type of Trade) — (Primary Contractor)
For the project located at
(Project Street Address or Property Ta..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 or St. Lucie County will be advised.pursuant to the
thi of a Chang.of Sub-contractor notice,
TUBE(Q a ter)-� ^- S4COVT-IALK)$RSFdN* 'rLrRF.(t2u lifieri --------
P I`T*iA<IE PRINT NANtE
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COUNTY CERT EFiCATION NUMBER COUtif1'CERTMC:-t.TiON iWUM-RER--_—
I e /�•�!/
Slate or Florida,County of��• LUG\ '� State of Florida,County of r7 e `5 holrw-q/ f
The fooregoing,instrumentsvas signed before mr this day of The(foregoing instrument�n as sign
ed before methis da-
t rrho ispersona►!y itnorvn_or has produced aLCl sfs`J svho is persenttlly knucva_=fir has prod need a .
ias identification. Lice as' .nt' cxiion,
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Signat a I otan Pnblie Sig ttire of Notary Publ;e
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Print 14umb of Notary Public T— - Print Marne of Votary Public
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r"Ge' SARA CAREY
Notary Public-State of Florida
Commission#GG 350794 E.Kd;
Y Pul�ltc State W Flttte�
'• or...........` My Comm.Expires Oct 27,2023 lirte E JiJdgE
Bonded throw h National Notary Assn. ommisst°n HH088082
8 es4il 2r=4
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