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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 1$ 0- c z t ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT FILE have agreed to be (Company Name/Individual Name) the �9_ _ � �c \ Q_ Sub -contractor for (Type of Trade) (PrimaryContractor) For the project located. at %A3—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. NTRACTOR SIGNATU (Qualifier) PRINT NAME C c`�C M ;5"l0 �0 COUNTY CERTIFICATIONN NUMBER State of Florida, County of t�1 The foregoing instrument was signed before me this 5\\ day of V 20\3 by who is personally know _or has produced a as identification. f:� M STAMP Signature of Notary Public 1 Print Name of Notary Public STELLA M. HUNTER ,o�PyP,,, ;_ Notary Public -State of Florida Commission # FF 180552 Revised 11/16/2016 SUB -CONTRACTOR ._N"URE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of ak �— The foregoing instrument was fsigned before me this3 ` day of , 20�'6 by \\�1J"Q who is personally known -L.efrhas produced a as identification. V-N STAMP Signature of Notary Public Print Name of Notary Public ,,�PayP STELLA M. HUNTER '. Notary Public - State of Florida t ° Commission # FF 180552 ## �` °•O Ca 'N'gT;c My Comm. Expires Jan 23, 2015 11 Bonded through National Notary Assn. f the PERMIT # i of ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individu"ame) A)4 Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at N3B% V, (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. CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 'z'4 The foregoing instrument was signed before me this day of who is personally known ✓as produced a SS COFACTOR SIGNATURE (Qualifier) D0Lja 14 i PRINT NA CPC. /&1 S7b COUNTY CERTIFICATION NUMBER State of Florida, County of S+ LI.,C ) '` The foregoing instrument was signed _ before me this day of 24, by ,1pQ 1*4 ��r-11C,� Who is p sonally known ✓ has produced a as identification. as identification. Vr\ STAMP Signure of Notary Public Signature of Notary Public STELLA M. HUNTER Signature Notary Public - State of Florida Eh a r Commission # FF 180552 Print Name of Notary Public Print Name of Notary Public � 1,11Comm. Expires Jan 23. 2019 Bonded through National Notary Assn. STELLA M. HUNTER •-Y�� Notary Public - State of Florida a •: Commission # FF 180552 My Comm. Expires Jan 23, 2019 a; hr,)i,gh National Notary Assn. Of Florida Revised 11/16/2016 # FF 180552 xPires Jan 23, 2019 x ugh National Notary A�, PERMIT # 1 o O g z 8 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Company Name/Individual Name) the Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at `�`3� Ne,44:X\r_S 9-4�_QL *1 ekk� �Sbw� (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. CONTRACTOR SIGNATURE (Qualifier). PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of c: Q` e The foregoing instrument was signed before me this V \. day of 20by who is perso lly knowd✓r has produced a as identification. STAMP Signature of Notary Public Name of Notary Public Wm Revised 11/16/2016 SUB-CONTRACTO I ATURE ( a Mier) PRINT NAME �' x-- C \L ^ —7 COUNTY CERTIFICATION NUMBER State of Florida, County of�G The foregoing instrumentwassigned before me this 3� day of ,20by�\S� who is person Ily known Lol rrhas produced a as identification. `` ` ML STAMP Signature of Notary Public STELLA M.HUNTER Notary Public - State of Floridar Commission # FF 1 B0552 My Comm. Expires Jan 23, 2019 Bonded through National Notary Assn. v°STELLA M. HUNTER =a0 b �; Notary Public - State of Florida ?•: n •= Commission # FF 180552 �Poc My Comm. Expires Jan 23, 2019 �;; Bon,Ndi.,. ^diUonaiNotanyAssn.