HomeMy WebLinkAboutSub-Contractor Agreement0512412018 08:23 0
FewMR I I ISSun DATE
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub- ontrat or notice.
CONTRA vee dONATM ( eii or)
State of FbAdn, County 6f"
The re olag In.erum:a
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who is perveaft lmowq- N
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IMBBA GOVNTY C$kciFICAT[ON gR
statc afflorldai county0f
^ie re rev oiis— 7. dsy of Tire foreping Inetrntrwnt ear before me 011A oy of
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hK prtodeced a W asonalty lmown pt hes produeto o _
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p9h SHERRl FEHLMAN
4�4ssi: fy�
� (;ammission # GG 187160
o- Expires match 14, 2022
RevlsedIV] V2016 1�xadz�lTtw et Notary Services
i
STAMP
print wme of Nnhry Pubue
o�PFVP�a�,
SHERRI FEHLMAPI
Commission # GG 187160
Expires March 14, 2022
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9 of F3
Bonded Thru Budget NotaryServices
PERMIT# ISSUE DATE
AMER .....:.. ...
.. PLANNING & DEVELOPMENT SERVICES
i = Building & Code Compliance Division
} RECEIVED
- - - BUILDING PERMIT FEB 19 �pgl
i SUB -CONTRACTOR AGREEMENT '
Permitting Department
St. Lucie County
A10
i
have agreed to be
(C m ny Name/Individual Name)
the / ,� %� Sub -contractor for Q u��� �e) /s
(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- I ontractor notice.
r
NTRACTOR SIGNATURE (Quaii r)
:9m &-;er �^ A
PRINT NAME
COUNTY CERTIFICATION i I�
State of Florida, County of
i
_She foregoing instrument was signc efore me this ay of
20;�?by
1
who is personally known or has produced a
i
asident le lion.
I
AMP
nature of Notary blic
Print Name of Notary Public
+'q7 SHERRI FEHLMAN
C"0fni Ission # GG 187160
• 9 g � eIlItesBedr t 14, 2022
Revised 11/16/2016 9 rySemce
SUB -CONTRACTOR SIGNATUR (Qualifier)
4,93 �i . <
PRINT NAME
COUNTY CERTIFICATION NUMB R
State of Florida, County o
The foregoing instrument was si d before me th�isy� day of
,
/ �L7 2/by,d i/U/ Lf7L7�LJ
who is personally known as produced a
as id c ss
.�i
STAMP
Signat re of Nota ublic
Print Name of Notary Public
SPRY P(�
_� : ••.e�%
SHERRI FEHLMAN
Commission
# GG 187160
9��OF F1. F\OQ
Expires March 14, 2022
Banded Thru Be dget Nobry 9erric