HomeMy WebLinkAboutSub-Contractor AgreementI PERMIT # - ISSUE DATL
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ,t;unoD aion, -is
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BUJIILIDING PERMIT 010118 330
SUB -CONTRACTOR AGREEMENT
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e (' Yam_/ C_�) have agreed to be
� Company Name/Individual Name) �ll�� A , /��
the �_/ V I
_ `�"y�' j C 1�L.,. Sub -contractor for 1--
(Type of Trade) (Primary Contractor)
For the project located at '42 2J_ — /9 E L
(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-contracto otice.
CONTRACTOR SIGNATURE, (Qualifier)
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PRINT NAME
a 9L�'s
COUNTY C);RTIFICAT=Z�z
State of Florida, County
Th oregotng instrument was
who fs persotraliy iuiow� �
as
Revised 11/16/2016
me this,, ( day of
L7Z �
SHE PJ FEHLMAN
Commission#GG187160
Expires March 14, 2022
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SUAI\ 07RACTOR SIGNATURE (Qualifier)
mimes Ha�ula_
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 34, L
The foregoing Instrument was signed before me this 22 day of
l Y1�V , 20, by QI i1c1
who is personally known �or has produced a
as Identification.
O <^ STAMP
Signature o tary Public
qnkcek oh - i-.-e.-
Print N of Notary Public
RigE
State of Florida
16 ontepare
n GG 214990
2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
`. Building & Code Compliance Division
a ,
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/Y
have agreed to be
(C m ny Name/Individual Name)
the 27;//_) j Sub -contractor for ' O Z-163,1ex? 00 /s
(Type of Trade) (Primary Contractor)
For the project located ats—i -7r'1q—
(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
i
filing of a Change of Sub-cont r ctor notice.
CONTRACTOR SIGNATURE (Qualifier)
�D,Q &_;e� _ f A /u ti,<,J
PRINT NAME
_ 9.�5
COUNTY CERTIFICATION NUM ER
State of Florida, County ofs..-L.,(r �-
The foregoing instrument was mped before m-- a this I day of
,20Z�l�-L�/�L(�
lly kno or has produced a
SUB -CONTRACTOR S GNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMB�R
State of Florida, County of�+ �-kk C_4_4�
The foregoing instrument
��wF'stgiR* before me this J_ day of
20Li, by
who is personally known�_Cor has produced a
as id tiff
as id tifica n.
STAMP
STAMP
Sign a of Notary Public
\
ature of Notary Public
ttava�a
SHERRI FEHLMM
Print Name of Notary edpf
k
Expires March 14, 2022o
tNRYp6.,
Print Name of Notary P $lire y *
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OLIGAoiFEI
Commission # GG�187 60
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Expires March 14,2022
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Revised 11/16/2016