HomeMy WebLinkAboutSubcontractor Agreement PERMIT 9,v ISSUE DATE
PLANNWG&DEVELOPMENT SERVICES
Building & Code Compliance Division
!COUNTY -
BUMDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT MAY 11 2021
Permitting L7apartmerit
St. LuCle COUnty
have agreed to be
(Company Name/Individual Name)
the. �C,I.U�I,gI lV�s- Sub-contractor for411 _
(Type of Trade) ff (Primary'Contractor)
For the project located at l� V1 L-N L 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.
(A�A (T�An
CONTRACTOR SIGNATURE(Qualifier) S ONTRACTOR SIGNATURE(Qualifier) -
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PRINT INAME PRINT NAME..
2- ®�J 3ado-_
COUNTY CERTIFICATION ER COUNTY TIFICATION NUMBER
State of Florida,County of State of Florida,County of (CAE-
The foregoing instrument was signed before we this day of The foregoing instrument was signed before me this day of
20ZL by 6AQ ja 2-6 by,
who is personally lmo or has produced a who is personally lmown or has produced a
as identification. as identification.
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STAMP STAMP
guature of Notary Public -10guathre of Notary Public
s awl AD6yr __1 , 7
Print Name of Notary Public Print Name of Notary Pililic
..
;.1WY d� ARWEN D ADAMS
b �
ARWEN D ADAMS '.'Notary
_ Notary Public-State.of Florida
Notary Public-State of Florida o-�o' Commission K GG 272910
Commission r GG 272920 '?aF��: My Comm.Expires Oct 31,.2022
Revised 11/16/201 �Ff`°� My Comm.Expires Oct 31,2022 Bonded through National Not Assn.
Bonded through National Notary Assn.
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f'ED3 11)5 .o) 9 p ISSUE DATE
PLANNING&DEVELOPMENT SERVICES
}I - Building,&'Code CDIapflunre DiOM= RECEIVED
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�- - - BUILDING PEIMIT MAY 11 2021
SUB-CONI TRACTC9R AGRE£il9ENT
PQrmitti g Department
St. Lucie County
the LPL-�G (Gl4'L Sub-conimciorfor� �F' AS-1 �6-LL1 C
('&YW o?Taade) (t'r9nxuy Contractor)
Forfe prajvt located at 319 W vlAl f 5a - n Li ecd rn c►
(Pmjcct Streo.Addm—&or Pcoprrty Tax ID#)
It is undeastoDd that,if th=is any change of status rega91ling our participation with dw above mentioned
project,the wilding and Code Regulation Division of SI_Lucie Counter will be advised pursuant to the
filing Dye Change oySub-contractor notice.
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Notary Public-State of Florida
aease�It/I�24At6 z; jo; Commission k GG 272920
My Comm.Expires Oct 31,2022
Bonded through National Notary Assn.