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HomeMy WebLinkAboutSubcontractor Agreement I
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PERMIT# I ISSUE DATE
,,- - 'PLANNING & DEVELOPMENT SERVICES
`"4 MW Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Po as S 17zc6?ieZ W 1 X have agreed to be
(Company ame/Indivi al Name)
the IP I u l.b ).iy q Sub-contractor for Po c S h l/ O 2 e T ,
(Type of Trade) !!,, �^ (Primary Contra tor)
For the project located at S90 I�FA
(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
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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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CONT CTOR SIGN E(Qualifier) SUB-CONTRACTO NATURE(Q Iifier)
%z,qRV t X / r re ICy I u I V-
PRINT NA E PRINT NA
0? F3 ? 1 a $'3 � f
COUNTY CERTIFICATION NUMBER COUNTY CERT FICATION NUMBER
State of Florida,County of S+ (GCR- State of Florida,County of Sf Ca t .c
The foregoing instrumentwas signed before me this day of The foregoing instrument was signed before me this day of
(71 ,2017,by It ew(L1 & l+ ,20 LI,by bi,
who is personally known or has produced a who is personally known_L-5�'has produced a
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identification. as id nlification.
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STAMP / STAMP
i nat r of Notary Public 01 Sig t rePat/
ary Public
Vt
Print Name of Not ry Public Print ame of otary Public
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pq��//p,,ppCC �I y�e,q-�-g 1
ry 1 ME CHAVEZMMISSION#FF991925 i'yyH JAYME CHAVEZ
PIRES May 12,2020N qMY COMMISSION#FF991925
FloridallotaryService.com `<i oN,r1 i ,` EXPIRES May 12,2020
Revised 11/16/2016 (ap7 3H©•0153 FlorldallofaryService.com
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
I
a V[t i E e r(',C/eoLer I- YO�P}!u k have agreed to be
(Company Name/Individual Name) n
the ' IF e De tC ,4 L- Sub-contractor for 100di S 6
(Type of Trade) (Primary Con actor)
For the project located at -5��O /V • TTA 2 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-contractor notice.
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CONTRACTOR TURF lifter) SUB SIG URE(Qualifier)
1 C(etZy k) I _�ober�
PRINT NA PRINT NAME
a. 1�3 -�l i 98yy
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
.State of Florida,County of -�/ Lam(cc� State of Florida,County of
The foregoing instrument was signed before
�/m�a this ,day of The foregoing instrument was signed before
nme�this /�day of
20' ;by_ J zt O ,20�-/,by
who is personally known_or has produced a who is personally known_ or has produced a
jsgndat
dentification. as i entification.
STAMP STAMP
re f Notary Public S1 atu e o Notary Public
roe. -ez ,�� h'1� C�� U-(Z
Print Name f Notary Public Print Name of Public
MY COMMISSION#FFF991925 ���al�jb!! JAYME (;H
EXPIRES May 12,12020 A�E�
of sr, MY COMMISSION#FF991925
FloridallotaryService.com I �:"2, ,A' ,'
s; 1,�'' EXPIRES May 12,2020
Revi ddDVI
n+J99Ls=[aiaa Florldallota-s—ice.cam