HomeMy WebLinkAboutSubcontractor Agreement PERMIT# + ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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L o J �sz..c 'F`r L �--r►=�r�1 5 i����'r have agreed to be
(Company Name/Individual Name)
the Ely, r 1 CC..1 Sub-contractor for-A a l3 T 1 yeJuprY - [
(Type of Trade) (Primary Contractor)
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For the project located at al G SO St, ear�, �rz l v� V�/� {� s°C��J 110q
(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.
1RACTOR SIGNATURE ifier) SUB ONTRACTOR SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATIONN NUMBER
State of Florida,County of 32t'm2 r� State of Florida,County of
The foregoing instrument was signed before me this �( I day of /I The foregoing instrument was signed before me th�ips f day of
F^ ,20 fl,by 12+h I',� A n b e 1 a ;�d t f i ,2d J wti,•�Q -.. ICI - r r )
who is personally known_or has produced a FG D�2���2 L�CivSE who is personally knoao—Lor has produced a
as identification. as identification.
pauuay
o""y"�e� HOLOGER R.COFER r
r o ,,ti• y TIMOTHY D.ERICKSON
Notary Public-S ride .:
Y � i :Y MY COMMISSION t
Si nature of t Public Moll 8 'October Jg ig J o Notary Public '. o••o!••' Bonded TluNola PblicUodenvrit
��•�;,a� AAy Comm.Expires Jul 13,201 e, ry
Print Name of Notary Public Print Name of otary Public
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Revised 11/16/2016
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PERMIT# ISSUE DATE -
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
�L6 2 Z-L G have agreed to be
(Company Name/Individual Name)the P1 12 yN � a� Sub-contractor for ` ) [�g�
eU eLoywl?
(Type of Trade) (Primary Contractor)
For the project located at `7(�/�'/S0 0�d/? P/111/Lo, eV 5eJq 1 eeOA / (� I�5 r�. //0 q
(Project Street Address or Property Tax ID#)
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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.
CC RRACTOR SIGNAATTUUR ualifier) S A, NTRACTOR SI NAAT"URE(Qualifier)
1 /rim pan .oyeSG n �S '"U( �^h+J U Dn r�2.
PFAW NAME PRINT NAME
a9 � � �
COUNTY CERTIFICATION NUMBER / COUNTY CERTIFICATION NUMBER
State of Florida,County of ^o U Ct State of Florida,County of Al p
The foregoing instrument was signed before me this Z day of The foregoing instrument was signed before me this 0 day of
,20'2by?/i'�/'gN OF SArI/7/S /`ll 20i by MD FVC—dy j',p
who is personally known <. who is personally known�or has produced a
up,
P HOLOGER R.COFER.
as identification. as iden' ation.
Notary Public-State of Florida
a Commission N FF 898608 I
OF F<o•'� Comm.ExpireiriUM0,2019' V �t7 STAMP
Signature of tary Public qQPNqPNqPN4Si f Notary Public V v-hl
i,•o(_,D a 12-- caF�2 ier
Print Name of Notary Public riot Name of Notary Public
r MY C HANN IS ON T t1128�9
Revised 11/16/2016 ?'• EXPIRES.,
7 4 Bonded M Tu Not"PuuftUrAriwtkem