HomeMy WebLinkAboutSubcontractorPERMIT # jao Lk _ 0 S ILA I ISSUE DATE '�) / -& 5 /r(� I
COUNTY:
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
5 1 qua td' v Gvcuo 1 IBC'. I-1�D26.
( 'ompany Narneqndi,%idual Name) 1 i
the me fV� k) 0\ Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address& Property
have agreed to be
2 AA C Ns7yuc_W) (�youp:PNc,
(Primary Contractor)
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 (Q er)
P- pQL AA
PINT NAME
C( C_-15o Hi 53
COUNTY CERTIFICATION NUMBER
State of Florida, County ofd��7QjY
The foregoing instrument was signed before me this day of
A&2& __120 Z k by
who is personally known _or has produced a a lid
as identiftc o
�'/' - - ' '66)
STAMP
Signs eof, otaryPublic Pamela Minahan
IPFZY AS
NOTARY PUBLIC
STATE OF FLORIDA
Print Name of Notary Public y =Comm# GG105443
s�NCE 1_ Expires 5/16/2021
Revised 1 L 16.2016
SUB -CONTRA OR sJTGNATUr)
_nb1;-_>LMeNd.a_
PRINT NAME
CF-C iH`� /'hiA-�
COUNTY CERTIFICATION NYMBER
State of Florida, County of 2,c� C7/�
The foregoing instrument was signed before me this day of r
M24 by a G
who is personally known or has produced a
P Y
as ide 11 on.
STAMP
Sig reof:otaryPublic O R AS Pamela Minahan
NOTARY PUBLIC
—STATE OF FLORIDA
Print Name of Notary Public , = Comm# GG105443
•s�NCE 19�� Expires 5/16/2021
PERMIT ISSUE -DAM,
PIANNING & DEVELOPMENT SERVICES
V,
i Building & Codt Compliance Divbuieu
COu
NTY
D, WILWNG PERMIT
SUR-k)ONTRACTM AGREE. EMIl'
------- hive ag"xd to be
(Compmy XauWbcbvidLu1 Name)
the Sub-contm-lor for
fTypc,of Tnuk)
Foi- the project bLated Li ej
(P "Od Sued A�'c'r Tax ID 9
It is uncktrsloW that, if there is any changc of stars regarding MW parfi4pafion with the abovcnicntioned
proicct. the Buil&rig and (*dc Regulauon Divi%4m of St. Luck C(xmty will be advised pirswnt to the
filing of a Chl=.,g c of Sub-wutmtor rx)ficr-
eial
4CA
PKIN fNAMT.
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ST AMP
"at!
Ry4s Pamela Minahan
NOTARY PUBLIC
t !+aMuc W %mury STATE OF FLORIDA
Comm# GG105443
E I Expires 5/16/2021
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3/25/2021, 11:06 AM