HomeMy WebLinkAboutSub-Contractor AgreementIM
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SU19Y1661
PERMIT # ISSUE ®ATE
(Type ofTmde)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Buildings & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/<%�C• have agre
Sub -contractor for Nt[IOW& MC6 tC, =&s
(printery Contractor)
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.,
411 ZSqM
COUNTY CERTIFICATION NUMBER
State of Florida. Cooraty o t— �
The roregoing instrument was s�pp ed before true this day of
�i7►� , z0aj by `q'}i t G� tM �'�,,t r
r
who is personally known _or has produced a La
as identification.
-�' STAMP
Signmare of Notary VkAlic
Print Name of Notary Public
D�ANNaII�Eft�
��;�'s�•••
Notary Publll = 9(�!i? 5> F128z
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My Comm, €%pii@§
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SUB -CONTRACTOR SIGNATURE (Onaliiier)
PRINT NAME
3D-o FO
COTJNTY CERTIFICATION NU ER
State of Florida. C"Rty of owl
Thrn roreroins insiment Waal -before um this G1�-7(�.fit U ®�
by
whq-ig personally bnovwu — has produced a _---
as
Print Name of Notary Public
STAMP
JESSICARL19,2022
MY COMMISSIOEXPIRES: October
teldEd ThN Nelary ]
PERMIT# ISSUE DATE
-5 PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
A, Z i � 14 rn; z C-P, have agreed to be
(Company Name/Individual Name)
the c t, r, Sub -contractor for #6112
(Type of Trade) V (Primary Contractor)
For the project located at ?;?-,?
(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.
ONTRACT&R SI NATURE (Qualifier)
P INT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_y�l�(�
The foregoing instrument was signed before me this 7/ day of
1%M1�it%tti 120 Z(, by
who is personally known _or has produced a
as identification.
oSignature
of Notary Public -V
Z
DPrin
[,0
Name of Notary Public
2MWCrn
0�Revised
11/16/2016
0
p tri �n r zCC.
PRINT NAME
-TP 112Sr/S91)
COUNTY CERTIFICATION NUMBER
State of Florida, County of L t)GfG
The foregoing instrument was signed before me this_7, day of
M/A t/% , 20L, by
who is personally known
as identification.
,-c
Si ature of'Notary Public
I��
Print Name of Notary Public
or has produced a D(,--
-9 1 PLAN ]UNG & DEVELOPMENT SERVICES
jlt*l� AMIL
Building & Code Compliance MvWon
VIAZI
OUYTom a Ir
(C*n2pwiYWamrfindi
the 1he jCA �'Lcg
(Type of TMde)
For the project located at
BUILDING PERM''
SUB-UONMACTORAGREEBUM,
-C Al 5 10 C- have agreed to be
Sub-,wnuavtor 1br-)mJkff5 flib6itc 4LYneZ
(Primmy conwIctu)
-:Y01 -61-1 -01 -3 1
,(Proj= StW Addms or T;F=—y TM ID fl)
It is understood that, if there is any change of Status regarding our participation with The above mentioned
projec4 the Bu Wing and Code Regulation Division of St Lucie, County will be advised pursuant to the
filing of a Change of Sub-wnUwWi notice.
MUM UUMUS
COUM CLWMCATIM NUMM
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Tim Mora beforc me dw
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'Is
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C i v t TVs
DEANNA GIVENS
Notary Public - State of Florida
ii Commission # HH 086359
My Comm. Expires Jan 28, 2025
Banded through National Notary Assn.
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CHRISTINE B ENGLIN41."
M'YC'0MMlSPl6h-i6QM9'6
EXPIRES: April 4,' :iml
Bonded Thru Budget Notar ySeffts