HomeMy WebLinkAboutSubcontractor Agreements PERMIT# ISSUE DATE
PLA 4NWG& DEVELOPM EW SERVICES
Building & Code Compliance Division
x - - ]BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
;c- z- have agreed to be
(Co parry Name/Individual Name)
the l�'�-T t z� / Sub-contractor for �,.tJ!y,�,i Ue ei� f tom ► e.�/�o�/�
(Type of Trade) (Primary Contractor)
For 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(Quatifier) a O .. RACTOR SIGNATURE(Quati6er)
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PRINT NAME PRINT NAME
aa
s<<zc\, ,Z�
COUNTY CERTIFICATION�N`UMBER COUNTY CERTIFICATION NUMBER '
State of Florida,County of State of Florida,County of� _ •i�.
Th foregoing instrument was signed before me this daybf The foregoing instrument was signed before me this da�of
20�1 by-kA0*\�,a i-,-J�`. � v..,-e �c 20�1 byb0�
who is personally]mown-Kor has produced a ;.., , who is personauy known-or has produced a
as identification. as identification.
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Signature of Notary Public Signature of Notary Pablic
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Print Name of Notary Public Print Name of Notan Public
t► yotacy Publ4c Sate of Plottda ;,,:;•`:°: ;;,LAURA R.CM:2 �2
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PERMIT#
KISUEDATE
1"IyAl�l'YYhI'��D���OP'1V�ENT,Sl�`V�i✓ES
.. •:..ors. :,�; �.. . . i
Code Cemp alkee Division
�TOI�A RE
Cou'tfort CO:'txtrol of St. Lucie -County, 1AC., have age ed'to'be
(Company Name4ndivi"Mime)
the HVAC Sub=coitftmr-for W :nto Deve:lo merit Corp.
(Type Of Trade) (l�tzaiary Co:t►tractor�
For the project located a
(Frgject Street Aadmss or?ropeity Tax m#�)
It is und6rstb6d.th3,t,if there is my change-Of statlil Dreg ding'our paificipatioii with the above mentioned.
project;the Buildmg and Code Repletion Division of St.Lucie County will be,advised pursuant to the
fling of a Change of ft-coiitractor-notice.
Cl1N''"CTOR SIGNATURE-
(Qua6Ser)• •
- IGNA,�'UlELE Qu8lifier
`e�rman
ANT NAM
8288
COUMCERTMCATIONDIC=911 COYl M CERTMrATION NUMBER •"�"
State of p'torida,Cb=ty of ST.{w c,E We of Florida;Counfy of Si eci �,�(�
The for 3ng instsudd'ent wms tibued betore me thi9�� dayof T foreoia�iustrameat was aT�gei1 befofre me tTus `''day o4
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2Q by V•� � , 20�bye 0,A a3�.ty+n �tv1b(1
who is per$oaa]ly.known✓r Ilggprbidttccd a who is pefFsomny known hag produced a
ae fdeutiteatiom as identi6eation,
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