HomeMy WebLinkAboutSubcontractor Agreement yesI•
PERMIT# ®4 , Cam p D ISSUE DATE
O�� I
. PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division _
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAY 11 201
PER 01TTING
St. Lucie County, FL
A)-ooe' m have agreed to be
(Com any Name/Individual Name) �
the �M << Sub-contractor for �� � pools PAS
(Type of Trade) rr (Primary Contractor)
For the project located at �� ` ��uclt ) 50 Ilsracc' Pat cS4 . Wo t Tl
(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.
CONTWYOK SIGNATURE(Qualifier) SUB-CONTRA kTORSIGNATURE(Qualifier)
�J it9 N�
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUUMBBER,_,, COUNTY CERTIFICATION NUMBER
��y State of Florida,County of—�` "`l �lJ�/V State of Florida,County of
The foregoing instrument was signed before me this �day of The foregoing instrument was signed before me this day of
1 a ,20�by W 1 U /V l f .` L•r? ,20_0,by e l/`•. �Y
who is personally known or has produced a who is personally known or has produced a
as iden'ua ou. as identlfi o I
STAMP STAMP
Siguat otary Pub Signature otary Public
Print Name of Nota ublic Print Name of Nota / ublic
t
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Craig Emmette MaWay Cm{g Emmette M8cCW
NOTARY PUBLIC NOTARY PLOLIC
STATE OF FLORIDA STATE OF FLORIDA
Revised 11/16/2016 C0MM#FF9W01 Comm#FF99"01
Expkes&28=20 40E)ires 51M W20
PERMIT# ISSUE DATE
i
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTIF
--- BUII.DING PERMIT
SUB-CONTRACTOR AGREEMENT
`�- - &" L have agreed to be
(Company Name/Individual Name)
the Sub-contractor for 1CGV)CbD S
(Type of Trade) (Primary Contractor)
For the project located at Tnact
(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.
�JK
CONTRACTOR SIGNATURE(Qualifier) SUB-(ONTRACT SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed.before me this day of The foregoing instrument was si ned before me tnhis l —day of
1 I 20 CA by f tJr �`�1 Y r-- J'°A ► 20tl
Y
who is personally known'�or has produced a who is personally known 4-r has produced a
as id ntifiition. as ide 'fication.
r
�AA
STAMP 1 STAMP
Sign ture ry Pub c Signature of Notary 1c -
Cr ft Emmette MecCoy
NOTARY PUBLIC
Print N. � Print NfVEXPIMU2812020
• mme e y
NOTARY PL16L1C
• Expif8 5/2812020 STATE OF FLORIDA
Catttmf FF994401
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Revised 11/16/2016
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