HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
( CIA AA have agreed to be
(Company Name/Individual Name)
the iI Lo if-e `A-L Sub-contractor for , �-�•
(Type of Trade) (Primary Contractor)
For the project located at_ � ~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 SIGNATU (fier) SUB-CONTRACTOR SIGNAT (Qualifier)
W ) 1 1\1 j ) l i 171 "
PRINT NAB PRINT
ii NAME
60 Ut
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER nji
�TState of Florida,County of_� ja `, State of Florida,County of liL L C-
The f regoing instrument was signed before me this�day of The foregoing instrument was signed before me this day of
C b ,20 byVW, 8 I I B t 0 �1 d yaa t? ,2p �by v" �)
who is personally known_or has produced a �l who is personally known—or has produced a
as identification. as identification.
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Signature of Notary Public V Signature of Notary Publ"
Print Name of Notary Public Print Name7 of Notary Public
-
MY t f
�Ybiar AUDREY B. I
r o MY COMMISSION#GG 3%0817 PpV PU@ AUDREY B.HUPAPHREY
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EXPIRES:March 6,2023 �. MY COMMISSION#GG 3�0817 Il,
"` publicUndetwtilers_ �:-{ EXPIRES:March 6,2023
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Revised I1/16/2016
PERMIT# ISSUE DATE
*, + PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
r�L 4—(,m✓A Kl/Jc���j,A✓`'' have agreed to be
(Company Name/Individual Name) c
the Ui m Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 6�do� 4 �b'k/iA✓10 S �✓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.
CONTRACTOR SIGNATU lffier) SUB-CONTRACTOR SIGNAT (Qualifier)
)A )) 1 a no lnl ' 1 ) i off. " -))/�'n a r>
PRINT NAB PRINT NAME
Oy -�.. - '� & C- i , Co u r�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of JA �i'` State of Florida,County of VL��
The f regoing instrument was signed before me this day of The foregoing instrument was signed before me this�day of
b ,202(by a 1 i G m r7t Yak o 0 b ,20A by W` �� , y-fia f7
who is personally known_or has produced a �� who is personally known_or has produced a I
as identification. as identification.
ou"
)
Signature of Notary Public V Signature of Notary Publ'
T�A�D
Print Name of Notary Public Print Name of Notary Public
AUDREY B.HUMPHREY
P11Y COMMISSION#GG 3G9817 P4 Pu AUDREY B.HUMPHREY
2023 A.
MY COMMISSION#GG 3G0817 3
' EXPIRES.March 6, *:
"• '�= Public Underwriters ` '�' EXPIRES:March 6,2023
',TgoF F�oP' BondNo" FOF F�°P' Bonded Thro Notary Public Unden mtac
Revised 11/16/2016