HomeMy WebLinkAboutSubcontractor Agreement PERMIT# } ! _ Q ISSUE DATE
a PLANNING & DEVELOPMENT SERVIC M
IVED
Building & Code Compliance Division
s . BUILDING PERMIT NOV 0 3 2017
SUB-CONTRACTOR AGREEMENT
Permitting Department
St. Lucie County, FL
have agreed to be
(Company Name/Individual Name)
the F�,00 F- C-(L Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at .5) CQ P l>J6126E ®R
(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(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of s+,LUc1 ••��
The foregoing instrument was signed before me this 3 day of The foregoing instrument was signed before me thiN day of
w)av 20LkI by G\e a 4'\g:c"4 yJ 6,1 ,20M by C l o o_C�•%-- r3e�ti
who is personally known or has produced a who is personally(mown or has produced a T L �—
as identification. as identification.
STAMP :, DEANNA MA
Signature of Notary Publ ~ J_e?"• "9""' Signature of Notary Pu io? EXPIRES:�DeiONGC 0re0�
DE AANNAMAME GIVENS ' Bonde �m r '%�1
J
MY CGMidiS 022G23 I d Thru Notary Public Un:;er ile o;i
G J SION#GG e W v\
ES:December 16,20:0
Print Name of Notary Public '�= public Underwr ters b Print Name of Notary Public
",;t••••o:; Bonded7hniNotary
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Revised 11/16/2016
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YERM(T# ISSUE O.klE
PLANI JAG &. DEVELOPMENT SERVICES
Building fie.Code C1;1'UIPH11InCe Division
1-7
Gladiator Electric Inc
have agreed to bn
(Comp ny K4mit➢nd vidnal Name)
the E-Wricat' Sub-contractor for �
(ryp.crf T ode) (Primary cantmotar).
For the project l icated at 5202 Pinetree Drive
ProjectSheet Addressor-ftVe iy Tax TLC N)
1<e is understood that,if iherc is any change of status regaAng our participation with fbe above mentioned
project,the Buildiltg and Code 1Rcgulation Division of St.L,ucic County will be advised prsiant to the
filing of a Change of Sub-contractor no is-..
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'Pti9 is v+ nimzily knownhptuced® �___pjr wtln 1s wrsonzi'y %at/6 az has pgodr--W A
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STAiA S`PAh9t' � l�Ifs "' STAMP
Sl�pnture cif t�dtry pbhlle Si^ luar of pinta Prb
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II'I PrJu Ynn1 DEANNA MARIE OVENS POW Name of No"Prgm.;�;••' .
MY cOMMISSION#GG U22023
EXPIRES:December 16,2020
•.';cF„°ac Bonded Thni Notary Public Underwriters -
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