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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division r _ t BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual.Name) the KA ;?;�=4_A A-AA Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at �o c) (Project Street Address or Property Tax ID#) i 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. i i C RACPOR SIGNA (Qualifier) SUB-C RACTOR SIGNATURE(Qualifier) PRINT NAME PRINT NAME i COUNTY CERTIFICATION ER COUNTY CERTIFICATION NUMB R Ck State of Florida,County of,,, State of Florida,County of he foregoing instrument was signed before me this da of Tb foregoin instrument was signed fore me is day of ©I f 1 � S IIINJ� 2onby 2V ,by who is personally known or has produced a who is personally known or has produced a identification. as identification. STAMP STAMP,, Signature of Not Public Sllgnatu o Notary We Print Name of dbl PrintNarq o ° . u61ic ELA M HUFF N4'�„r otary Public'State of Florida ;2np ANGELA M HUFF Commission#FF 23473 ,i # A� Notary Publ1C-State of Florida MY Comm. 0 c s° , Commission#FF 234730 My CO M-Expires May 27.2019 ci .;;OFFVV f�Y Comm.Expires May 27,2019Bon ` ;q hnn�� —^—,,...,• gh National Notary Assn. ' Banded through,yational Not J aryAssn. ' Revised 11/16/2016 I _ I I I i , PERMIT# ISSUE DATE PLANNING& DEVELOPMENT SERVICES Building & Code Compliance Division • i BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the Sub-contractor for -2C. iL- (Type of Trade) tPrimary Contractor) I For the project located at 2��C-1 C n c t (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. i CON RACfOR SIGNATURE(Qualifier) S ONTRACTOR SIGNATURE(Qualifier) PRINT NANW PRINT NAME COUNTY CERTIFICATION NUMB R COUNTY CERTIFICATION NUMBE State of Florida,County of ' -12— State of Florida,County of e foregoing instrumen was signed before'me th, I d y of The foregoing instrument was si ned before me this f 20 by ' L 20Q 0 who is personalty known or has produced a who is personally!mown_or has produced a �- identification. as ide 'fication. j� STAMP SignatuW., ta ublic Signatur fNotaryPu Print Name of Notary Pu Pt Naio"". tp ublc Notar ANGELA M HUFfi ANGELA M HUFF y Public-State of P"pYPV r S';.rfs Com Florida Notary Public-State of FloriJda o;= mission FF � ovciu�: MY Corn 234730 m. commission# FF 234730 Expires May s; Pam' My CommExpires May 27,2Bonded through�VationafNoa A�19 Banded through?Jationat P!atary Assn.1, sn. Revised ll/16/2b16__, I I PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name ndividual Name) the tom-- AJ a Sub-contractor for (Type of Trade) (Primary Contractor) I 1 For the project located at (Project Street Address or Property Tax ID#) . . I It is understood that, if there is any change of status regarding our participation with the above mentioned II 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. I I i C NT CFO SIGN ( ua fiery stJcoNTRAcrbA SIGN TURF(Qualifier) I, I PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBE COUNTY CERTIFICATION NUMBER State of Florida,County of, �A��- State of Florida,County of` cA e The foregoing instrument was signed before me th day o The foregoing instrument was signed before me his day of 1 2 by 2 by ! C J who is personally known or has produced a ✓!� who Is personally(mown or has produced a as identification. as identification. -hi STAMP STAMP, Sign ure of Nota Pdblic Signature of No Pu60L lic AVY-i u V cIIII Pridt-N�ii�Mrx �` UFF Print;Nd6e o Ndta ,1?ubHrYJgt ¢Y S'ubli YCommission State of Florida ,j roe "�o,, ANGELA M HUoF Comm n#FF 234730 J;,q ;°= Notary Public- of f i Expires M - i_b r Co Flor da May 27,2019 =�° e.r_ Commission#FF 0 =,9,F 9: M 23473 y ass❑ ) p�-IF1 y Comm.Expires May 27,2015 Bonded through National Notary gssn. Revised 1 1/1 6201 6 h PERM] # ISSUE DATE I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division ® I 4 I BUILDING PERMIT SUB-CONTRACTOR AGREEMENT i I I have agreed to b j (Comp ny Name/Individual Name) to _ G Sub-contractor for !` •Cv � O j ' (Type f Trade) (Primary Contractor) I F r the proje t located at SS/� l^ 3 9 0cv2 (Project Street Address or Property Tax ID#) I It s understood that,if there is any change of status regarding our participation with the above mention d pLngof � Building and Code Regulation Division of St. Lucie County will be advised pursuant to the fh inge of Sub-contractor notice. j j O TRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier) i ! PR NT NAME PRINT NAME T j CO NTY CERTI ]CATION NUMBER COUNTY CERTIFICATION NUMBER StatJe of Florida,C only of "S�, L.is 1 c� Cr._o ar�a^r� State of Florida,County o(�� L. r- I nellforeeggoi/n�g instr meat was signed before me this t/day �.of, (�� The foregoing instrument was signed befordTmG this�da�of C C 20L,by Yen� )2_ lf ILS�R� Lz 7 c_' rn�e f ,2011,by o b�.r wh is personally own�or has produced a �l Nrho is personally known !l or has produced a ' I as I entification. as identification. STAMP STAMP � _O I A �' 'ts�, ' Signature of Nota I'Pu signatuSF r:'of\gut Y` u6 rc I „...... , PATRICIA A.GAFIYON I Notary Public-State of Florida Fri ;Name of Notai Public / Print Tubli6oMrniss10n aj '„ Bonded Through National Nolary Assn. I 1 � I Reviled I ill 6/2016 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division_ s BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the vsu Sub-contractor for 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. �ez C RACTOR SIGNA h r(Quaer) S CONTRACTOR SIGNATURE(Qualifie PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMB R COUNTY CERTIFICATION NUMBE e State of Florida,County off State of Florida,County of CA The foregoing instrument'was sig�before me this `day of T e foregoing instrument was signed before me th' a dly of 20�duy [� bY who is personally known or has produced a who is personally(mown or has produced a as identification. as identification. TAMP STAMP Signat a of Nota Publi Sig e.o N ublic I f JWA ? H F Prii t public i-State of Flouda P a , etary�� Inc State of Florida A t5 - mmission Comm.E. _ Commission yx FF 234730 i'a ;°; ; MY Expires Ma234730 My Comm.Expires May 27,2015 : a BondedthroughNational Y 27 201g Bonded through.National Notary Assn Notary Assn. Revised 11/16/2016 I i i