HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
RFIWNTRACTOR AGREEMENT
JUN 0 4 2021
St. Lucie County
Permitting
t'7 N(_ .92- b, \V t,,, --v,; n C have agreed to be
(Company Name/Individual Name)
the Sub -contractor for u / C �octiS � � f52
(Type of Trade) (Primary Contractor)
For the project located at �� /y VJ �-�� , Qo' Ls� W LVC
(Project Street Address or Property Tat 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.
2dq-.,77
COUNTY cERTIRCATION NUMBER
State of Florida, County of /l LT'
The foregoing instrument was signed before me this 30
day of
L 20 t by�fwho
is personally kmowrr, . ✓or has produced a
as ide cation
Sigiiatur f Notary Public
Print Name of Notary Public
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Revised 11/16/2016
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SUB-CONTRACTORSIGNATURE (Qualifier)
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PRINT NADIE
1 C FDA
COUNTY CERTIFICATION NUMBER
State of Florida, County of WA -In
The foregoing instrument was signed before mce tt ds "day of
k t t ` . 2021 by
who is personally 11mown V/or has produced a
as identification
STAJIP
Signs ' e of Notary Public
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I -D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT J U N 0 4 2021
St. Lucie County
Permitting
r7VNC � Q, �� z ,� ��- L /1 C have agreed to be
(Company Name/Indhiduai Name)
the �n=c�- �c c-Q Sub -contractor for 1 t e.(k5 u rt coc.S �t-
(Type of Trade) (Primary Contractor)
For the project located at �j �� /yVJ � �� C1�� . ?Od\c S'r UiL1C
(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.
CONTR (CTOR SIGNTL7lifier)
RINT N.ALME
2�v�7
COL tiTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 3.0 day of
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2UZ�,by 4,(A , 6a'L[l1zie
who is personally ]mown . ✓or has produced a
aside ' ication
gignatur f Notary Public
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Public
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Print Name of Votary
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Revised 111I6i2016
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SLB-CoN TR-lCToR SIGNATURE (Qualifier)
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PRINT NAME
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COLti'TY CERTIFICATION NIA, [DER
State of Florida, County of'�
The foregoing instrument was signed before me this '—" } day of
, zoo, by t=r G.
who is personally (mown or has produced a
as identification.
...fir STD\IP
SIgnAture of Notary Public
LAURIE VEC -HO
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Print Na IT Publ0s �T° Zi3P�