HomeMy WebLinkAboutSubcontractor Agreement AAL
KRMIT# ISSUE DATE
PLANNING &DEVCCOI'NMNT SERVICES
Building&Code Compliance Division
BUILDING PERMIT
I �. SUB-CONTRACTOR AGREEMENT
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�j 61,/ cc— /et' ?r, c- X-4 e- I have agreed to be
(Company Name/Individual Name)
;the
f��T s,z / Sub-contractor for / t I)e&e f ul4A
(Type of Trade) (Primary Contractor)
J. the project located 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,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) O . RACTOR SIGNAT -(Quafifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER
S ti to of Florida,County of �V c '�(� State of Florida,Comity of 15A .
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The foregoing instrument was signed be��forre��me this l-�- ``dr�ay of The foregoing instrument was signed before me this
) day of
Cw 20n by v�C�C"(�+Q �✓�Svc *c��n►1C� ,-20)1 by
who is personally known or has produced a who is personaKy!mown,Vor has produced'a
as identification as identification.
�C.r - `� u�'�-'���-- STAMP >�� >�� .'+ ,.Q 0 44 STAMP
Signature of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
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err NotatyPukik�~�: � ;;,�;.,;� �LAURAR.'CUBBEDGE
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PERMIT# ISSUE DATE
I
' PLANNING & DEVELOPMENT SERVICES
th - Building & Code Compliance Division
BUILDING PERMIT
F SUB-CONTRACTOR AGREEMENT
i
I
p` ry I ce S c- have agreed to be
ompany Name/Individual Name)
,the M h ub-contractor for rynp—'b-e Y Q 10 -m e p C.O.R.O
(Type of Trade) (PrimAry Contractor)
For the project located at �',C1 7�"-)0
(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
ling of.a Change of Sub-contractor notice.
I
CONTRACTOR SIGNATURE(Qualifier) SUB=C CTOR SIG ATUI&(Qualifier)
0,-AAS14 PRINTNAMM
o ISISC, a�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida;County of Sir-L.C ' State of Florida,County of St-Lli C..1 e,
The foregoing instrument
�was
`signed`beffo1re me this l'�ay of The foregoing instrument was sigM)eri
efore me t/hi�� day of
\4 �1G 20��,byy"`lJ \2.�1.��i�� �l 20g,� 1.uXua,-,
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Who is personally.known or has produced a who is personally known or has produced a
Is identification. as identification.
04Q,t,(}(- ItJa, STAMP STAMP
Signature of No Public Signature of Notary Publi
it 0AC-6 144 A/yo 64sle,^)
Print Name of Notary Public riot Name of Notary Public
DOROTHYANN$ASKIN ,.'""�" t" ' , 411
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(d07)399-0153 FloridallotaryServic3.com e
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PERMIT# ISSUE DATE
pLA1 TYY I`+ 'A DEVOLOP10NT YfV rCES
P-ulldfi ag&Ciidd Coin p)—taim a Division
•
BY iDYiVIG?PERTV=
TRAiCf0R161iiXNENT .
!� CqM`fort Control df St. Lucie County, IAc., have,aweed'to'be
..(CompanyNsmeUdivicl dN=e)
the H-VAC Sub-c6nit ,ctorfor Wyxzne bene7 --Dment Cori).
(Ty)e of Tride.) of n kT CQx►tramor)
Far the project located at
'(Prgject Street Adams or t'raperw Tax M#)
a is understood;:that,if there is any change-of status:regarding our participation with the above mon'tioned.
;project,-the 1 eu idhig and Code Regalation Division of St.Lucie County will be advised puisuantto the
Riling of a Change of Sub-coitractor-notice.
O1V'>t'IIACT0R SIGNATM(QuaIffier)• Ca IGNA:T'IJILE(Qt�iifier)
K.a;tt-hew Lil.e Wynne Bar; erman
PRINT NAM PWNT NAME
o 8 $
!COUNTY i CERTIFICATION NCAVtSE COTJN'Y"Y•CERTInCATION NUMBER
$tare oFP torida,Coamty of ST, c E State of 1461ift County of 21 c
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The fottigoing instruotient ovas aeened before me tbis day OfThe fore oiaE instrun-a�was 81ped before me tltis day of
�2h�lGwl�ZO�bY �.1��=^.V.S� 1Gv�,x0. I,by �CC1.< Z��it+ev.2Nvi0(1
ho is pern=Uy.known-�-Ior has proaueed a who is personallyTkaowa✓r rise prodaceda
as fdentrfication. as'identi6cation,
d ;el*— &j STAMP- STAW
I%uhture ofNotary ..We Signatuni Of Notary ne
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Print Manic of Notary PubHe PrintName of Notary Pubtle
DOROTHYANN BASKIN.
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