HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPAMNT SMVIC;ES
- B>uBding &Code Comipvanee Division
��„ BUILDINGPERNiTT
SUB-CONTRACTOR AGREEMENT
L (fc. 7r, c— have agreed to be
(Co pany Namet7ndividual Name) n
the 4-tec- 't,z e. / Sub-contractor for �-y rr rf Ad 1)t'i:;,e- /c/^ ew,7—e-o 1/,1
(Type of Trade) (Prima6 Contractor)
project
For.the P 'ect 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 Co&Regulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) qW4C0fffRACTOR SIGNATURE•(Qualiliier)
PRINT NAME PRINT NAME
COI[JNTY CERTIFICATION.NUMBER COUNTY CERTIFICATION NUMBER
State ofFlorida,County of �� State of Florida,County ofl����L2.
Th I foregoing instrument was signed before me this day of _ The foregoing instrument was signed before me this- day of
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ICi1t:�1�Y .4 1,by i�\( n : %j. S� In')!�(v�� � � ;20\'by I�AIJIl*tQ CO �� �
who is personally known-Y—or has produced a who is personalty known-V-or has produced a
as 1deat'deation. as identification.
r
�(-t� STAMP 0 STAMP
Signature of Notary Public �Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
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PERMIT* ISSUE DATE
an �- I"IyA1 l' Y�l &M"LOPMENTSEY 'WOES
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Gamfort. Cr antral 'of St. "Lucie -County, lAc.. have agreed to'be
(C0*;ihy Nhmeandividual Name)
the H.VAC Sub-iG6nitiotor.for W :ane-Deve:ia: merit -Cor .
(Type ofTrade) (Friai*'Conuwtor)
For the prajeot located at
(Frgjeot Street Mdress&�ftaity Tax ID#)
it is understot d:that,if there is any change-of status.ire ding tour`par icipatian with the above mentioned,.
project;the Buildift and Code Reg patio a Division of St.Lucie County will be advised pursuant to the
f ling of a Change of Sub-coiitmotor-notice.
CQN't]RACT4TtS1tTATURE QiiaTiffer.
E j CO •.. IF,NA�'U)itE(Qu�erj
-Matthew Lh.e Wynne
PRINTNAM FMT NAME
COUNTY CERTIFICATION NC71V E—A COUN1`Y''CERTl'F1i~ATEON NUMBER
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cT��bte__fo``rigoSng rostrum tnt ryas s;Eued ibefore me phis day of The forc%oft instrument wds sipjd before me this—-•day of
•20 bye
who is personally.known✓Y has produced a who is'poFBoneiliy kadwn—!!:�Or has peudaceda
a$Ifiiettiificatioa. as identirmation, ;
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