HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
OUNTY
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for C-�5, --.
(Type of Trade) (Primary Contractor)
For the project located at 1 ;WAt_ I j pl�Y(P,0
(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.
�CokWACTOk GNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �
The foregoing instrument was signed before me this 111— day of
who is personally known or has produced a
as identification.
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h '� STAMP
Sig at a of Notary Public
Print Name of Notary Public
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SUB -CONTRACT rSIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County of c U I
The foregoing instrument was signed before me this /0 day of
20:�j by �lib! j 1 ( (A 1 1 lD .
who is personally known _or has produced a
as identifleation.
Signature of Notary Public
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Print Name of Notary Public
- Ntcta�e
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STAMP
Revised 11/16/2016
PERMIT# ISSUE DATE
r
PLANNING & DEVELOPMENT SERVICES
J i:1. Building & Code Compliance Division
i
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Nadie)
the (-�)Lom jd(o Sub-contractorfor
(Type of Trade) I (Primary Contractor)
For the project located at %� S �"PEL— OkNwt RL —RL
(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.
a
CON CT SIq,N R (Qualifier)
1071.flll ENJAly
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed jbeef(orre me this /iJ dfaay of
20� by (�`f�bd in
who is personally known _or has produced a
as identification.
STAMP
Signature of NotarPublic
Print Name 617Notary Public
C0016.15
g��Not, tl�,
Tiali l 1�ici>r1Y
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of V `,F ( L
The foregoing instrument fwas signed
before me this �/o ' day
7of`
fyU "" � 120)4 by ("„l� 1 Vl c(A�9' l V `,
who issercnl nall,•lst 1 j known or has produced a
as identification.
U(�� WCAL6 STAMP
Signature of Notary Public
h � ( (S Ie' m (Yla'kbA
Print Name of Notary Public
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PERMIT # ISSUE DATE
r
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
m n w 1,U I oui L ,j:a4 have agreed to be
(Company Name/Individual Name)
the -- Sub -contractor for r� �p,,�,!►'I�,�L�_
(Type of trade (Primary Contractor)
For the project located at J0i q
(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.
CON'TRACTOR�SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed abDeo me this lJ day of
,20Wv1 1111 11 Y i
who is personally known _or has produced a
r
as identification.
Signature of Notary Public
Print Name ofNotary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
r ,T, - fQaAYIO�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of —�— -t,
The foregoine
instrument was signed before me this day of
MLA I 1 L , 20J-A, by PC'3 & r) f�U1 raZ) S
who is personally known _or has produced a
as identification.
6 STAMP UMC�Agt�—STAMP
Signature of Notary Public
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Print Name ofNotary Public
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Celwllw 1 %xW$
A y
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Revised 11/16/2016
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
` Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Dame)
the P� i N !�' Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
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
CT R SIGNATURE (Qualifier)
- PRINT NAME
�T NAME
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of i)(J
The foregoing instrument was signed before me this day of
20. J by
who is pe�rsonallvA�, kn`wn_or has produced a
as identification.
Signature of Notary Public
� 'e I � ( Iri%� �. V'Y1a.,�'l�►n
Print Name of Notary Public
NkxAe
Co*94 '�i3580l>5
Revised 11/16/2016
SUB-CONTtaCTOR SIGNATURE (Qualifier)
P1nNT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 0
The foregoing instrument was signed before me this /Pdy of
C ) 2�by T��� 0 MAIL)
who is personally known or has produced a
as identification
STAMP I I�
Signature of Notary Public
Print tame of N t ry Public (
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