HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
— BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
"5:— have agreed to be
(Comp Name/Individual Name)
the �WTI I " Sub-contractor for A44- �- sm p�u5 r-L-t
(Type of Trade) 1J (Primary Contractor)
For the project located at IC> -r` 4�
(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.
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C TRACTOR SIGNATURE(Qualifier) SUB-C NTRACTOR SIGNATURE(Qualifier)'
bfCACer
P TqNAME P IT NAME
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COUNTY CERTIFICATION NUMBER C0bNTY CERTIftCATION NUMBER
State of Florida,County of Ai,r5- State of Florida,County of ft— kQ4
The foregoing instrument was signed before me tb "day oofp The foregoing instrument was signed before me th-Z"y of
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26U,by��b-30k &1a 20211,by /J (,<E
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who is personally Imow�or has produced a who is personally knowW!or has produced a
as identificatio as identifi
STAMP STAMP
2ignatuLre of Notary he gnature of Notary Public
Print Name of Notary Public Print Name of Notary Public
:;1Pxr aoe. ARWEN D ADAMS
NotaryPublic-State of Florida :=a�j3` �e° ARWEN D ADAMS
Commission Y GG 272926 •? Notary Public-State of Florida
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Revised 11/16/2016 Bonded through National Notary Assn. PFF`•:' My Comm,Expires Oct 31,2022
Bonded through National Notary Assn.
PFRAPilT ISSUE DATE
PLANNING$DEVELOPINIENT SERVICES
Building& O)IJe Compliance Dhision
BUILDING PERIL UT
SUB-CONTRACTOR AGREE LENT
COILFDer GDNTAL SOZVIGC-S MNG have agreed to be
(Cp >;N=h-/lndiviilnal lww)
the �LEG7l?1 G Sub-contractor for A +V Custbrn PO NA,Z Lc
(T>W afTaadc) 2 M,, ,�, (PrirnaaryCCo�ntract")
]For the�)rtlaecl located at (, j C) CQ o {�z
6Proacin SuLvt Addre s or Property Tax ID#)
It is undeasiood tllal,if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Rggulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sulz-contraclor notice_
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=�Sr PGBG:7ARWEN D ADAMS ��,ublic-State of Floridaission k GG 272928 Expires pct 31,2p22Bond Natiora!Notary Assn.