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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 4 IRI'lf I/ (Company Name/Individual Name) the r= �� t i C Sub -contractor for (Type of Trade) For the project located at (Project RECEIVED MAR 12 1011 Permitting Dapartment St. Lucie County have agreed to be 1" 6St01 rc Rad (Primary Contractor) ('�Zft�_ Polad IFII&Y-1r.- 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. IC�CM lc� (Qualifier) A-*W/ ,0'0 4/ PRINT NAME /)016e0100 ill V C UNTY CERTIFICATION NUMBER State of Florida, County of_ f L"e The foregoing instrument was sign b fore me this -�ay of 2� by o IT V"i who is personally kno has produced a wised 11/16/2016 N Notary Public State of Florida DanyelJones My commission GG 352016 Expires 0710412023 i SUB_ C OR SIG T (Qualifier) JdME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was sigm- before me this day of l� . 20;( by Qi LI who is personally known or has produced a as identification. Sig" i na STAMP g ry Public �. AI 'Ar a Nota p rY Public State of Florida DanyelJones s oQ My Commission GG 352016 of tiExpires 07/04/2023 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RECEIVED BUILDING PERMIT SUB -CONTRACTOR AGREEMENT MIAR 12 1011 Permitting Department St. Lucie County have agreed to be (Company Nam&dividual Name) f z �° the /k f Sub -contractor for J ei/' -r`, �- �& Ra �Cy w) & 2 (Type of Trade) J (Primary Contractor) c s For the project located at C J I �0/t Adam1?04,&L ar (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. I CVNT/REACTOR SIGNATURE (Qualifier) P P a /0 0 0,0 1? C1�l COUNTY CERTIFICATION NUMBER State of Florida, County The foregoing instrument was signed before me this 10 day of 20%by o who is personally known has produced a as STAMP Signature of o Pnn ame of o ublic rals`r °W Notary Public State of Florida Danyel Jones My Commission GG 352016 ?oir'a Expires07/04/2023 Revised 11/16/2 S B OR SIGNATURE (Qualifier) A IC44 PRINT NANW P' l oo i oa `�� � T1 COUNTY'CERTIFICATION NUMNER State of Florida, Couaty i The foregoing instrument was sin before me this day of 120aby who is personally kaow�r has produced a Opp Notary Public State of Florida Danyel Jones v My Commission GG 352016 Expires 07/0412023 of A STAMP