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HomeMy WebLinkAboutSub-Contractor AgreementFor the project located at
Sub -contractor for
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�1' �������
Pzanrlo
y Name/Individual Name)
the 6=
(Type of ode)
ID 'Ill 0-605
have agreed to be
Ali //©ps- LA -
(Primary Contractor)
(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.
rONTRACTOR SIGNATURE jQualifier)
/I �, <
PRINT NAME
�/ 112-�--
COUNTY CERTIFICATION NUMBER
State of Florida, County of 15�{• We�Q
The foregoing instrument was signed before me this-5day of
i`Aq'C , 20ne
a+), by T q* 11; C4. 11�f+Y1 ,1 i % ('
who is personally known _or has produced a rL
as identification.
STAMP
Signature of Notary Ptrblie
Print Name of Notary Public
GI' N DEN ate f ",orida y
Notary PWb Cn 4tHH os6159
Gomm TreS Jan
My COMM
h National Notary Assn.
and throes;
COUNTY CERTIFICATION NUMBER
State of Florida, County of :Wu1r'��
The foregoing instrument was signed before me thisS day of
2W, by �1� (�C4 WN
who is personally known or has produced a Ip�
as identification.
Signature of Notary Nblic
pia r ri� G'�� ws
Print Name of Notary Public
DEANNA GIVENa]'
Notary Public • State of F,arica
a o`=
Commission WH 086F 5y i,
My Comm. Expires Jar 28. 2029 `
Bonded through National notary A3sr.
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
b4- -(� �� 1" tom— have agreed to be
(L mpany Namef[ndividual Name) i `-
the Sub -contractor for
NOWK
ype of Trade) [[ ``, ` 1 (Primary Contractor)
For the project located at M3q — 931 — V OC4 — 0 00—
(iaroject Street Address or Property Tom ID 0)
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.
NiTtACT 1R SIGNATURE (Qualifier)
PRINT NAME
a H (12-SysS
COUNTY CERTIFICATION NUMBER
State of Florida, County ofs _
The farepind inctrurmeat wroe dgued before• me thies_-_ day of
w.q •f z xaa.�. by Q °�} c1e �►w:�1�r
who is personally known _or has produced aas identification.
STAMP
Sia,, rc ol`Notary P lie
Print Name of Notary Public -
DEANNA GIVENS
_%- Notary Public State of FloJA
Re .tom .16 Commission b HH 08635
•...'��F �,� ' My Comm. Expires Jan 28, Bonded through National Notary
d.-
SUB-CONTRACTOR SIGNATURE (Qualifier)
'4drP4'-fX
PRINT [NAMEs^[` \/��+�'
r� /ao V
COUNTY CERTIFICATION NVNIBER
State of Florida, County of a_
the foreSaine ioarument was a _ d before me this G— liar of
ao2 1 , by
yW-5-19 personally kuowu or has produced a
a identificadom n
Y STAMP
5i lure of Nntary ubl
Print Name of Notary Publie
JESSICAR. BRYAN
` GG 241369
MY COMMISSION #
* :*= EXPIRES' October 19, 2022
''•'FOFq;oP' 9ondeinruNotary PublicUndervrdters
�'EFd41BJ1 f # ISSUEDA7E
i
CusioI/'t Alt r
the4�(CO N. efind
�
(Ty" Of If ra&)
For the pr0jed 10cmd at
Ro6oaa& a/C_
PLANNING & DEVELOPAEiT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-C®CT®R AGREEMENT
Inc have weed to' b1;
_ Subl -co ;Itracwr for `�- Wit It &Yne-S
QcQ f5L fi
tom= 5T=a eft= orP.gpwr Watt 1D #y
39,5q ®oo 1,000c
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 5t. Lucie County will be advised pursuant t0 the
filing ®fa Change 0f Sub -co ntractor nnotiee.
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®UM IRCAMOE% ERMOM
S1au of Horude, County o? 3 -r L u C 1 e
ibs fforsgo3nX bnsdrurnemII vxas � Ibstors ms ebbs day or The 113s O &gr aJ
j'}?P'W ? -"r7'�--del (� Feb 2 ►, be y-c h s Sigotmo n S
wbo is psrsoneDy kumxo _or bae produced a • t�/,,. •-AL, Who is prrsowny IMOWm V/ or bw produced a
as nsirnai➢rea�Foa.
Sp:na0aare o1C�{ofary �'mpi�is
Prenr Name of gforary ,Dubuc —
as b&Offcaeb n.
STAMP
59gma4mrs of �oSaa�v . !is yy
Chin as �inp� •LC�4��5•!�.
(Prins tams OT twodary !Public
`�•`�p514 p(r' AUDREYB.HUMPHREY
MY COMMISSION# GG 350817
PcvLvd➢ C/Il�lymIlb :�-4 h; � = EXPIRES: iMarch 6, 2023
''� :;;?,;;4`,•' Eondetl'lhru Notary F'ci�1'sc Undaiv�riters
.� ;�cr�,near:iU-:?d:wrc�.+��s:.:s•�s�i�sw: - m-^ sir:;
CHRIVINE B EN WH
W COMMISSION # GG 06254E
* *
-,
EXPIRES:WI4,2021
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Banded TtwBudget Notary Serd?N