HomeMy WebLinkAboutSUBS--� - - - PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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Company Name/Individual Name)
the 'L"5-'C CC7'12tcAL
(Type of Trade)
For the project located at
have agreed to be
Sub -contractor for /-00%S by �P e
(Primary Cont actor)
(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 S NATURE ' -rifler)
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PRINT NAME `
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COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20,r, by — 2 r�
who is personally known i�-'or has produced a
as identification.
STAMP
Signature of Notary Public
i
Print Name of Notary Public
'10 pw Notary Public State of Florida
r° �� A Thomasina Bowins
y a My Commission GG 201733
Revised 11/16/2016 "x '�xodc�o� Expues 03/2912022
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SUB-CONTRIIC'gif SI ATURE (Qualifier)
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PRINT NAME
9 Fyf
COUNTY CERTIFICATION NUMBER
State of Florida, County of _ a
The foregoing instrument was signed before me this �:. dray of
' 201% by
who is personally known -Pr has produced a
as identification.
-"� Signature of Notary Public STAMP
/
Print Name of Notary Public
Notary Public State of Florida
Mc A Thomasina Bowins
q My Commission GG 201733
f°,hod Expires03/29/2022
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PERMIT # I I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I~o 0) S I b 2 �yG; 1 1 %� have agreed to be
(Compay e/Indivi al Name):
the 14 l"b ) wa Sub -contractor for PO a % S b (n 2 e (Type
o II Tra I (Primary Contra tor)
For the project{ located at 1� 1��(��Y1 ( kkfe
(Project Street Address or Property Tax ID #)
i
It is understood th ' , if there is any change of status regarding our participation with the above mentioned
project, the Buildig and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
(Qualifier)
¢deRii bV I
PRINT NAME '
c
COUNTY CERTIFICATION NUMBER
State of Florida, County of_5 LlICi
Th foregoing instrument was signed before me this
,i day of
/ 202, by �� Vlit?C
who is pe1i onally known __�eor has produced a
as identification.
SUB -CONTRA OR SIG VAA7 RE (Qualifier)
T C—_fe1CV L t
PRINT NAMry i
a R-37
COUNTY CERT ICA'I'lON NUMBER
State of Florida, County of..
The foregoing instrument was signed before me this day of
, 20a, by T
who is personally known _or has produced a
as identification.
__C.34 STAMP STAMP
Signature of NotaryPublic Signature of Notary Public
Print Name of Notary Public
Print Name of Notary Public
csn°.(V Notary Public State of Florida
A Thomasina Bowins
,} a My Commission GG 201733
Revised 1 1/1612016 �Fnr ticRA Expires 03/2912022 ;OPY ptg` Notary Public State of Florida
A Thomasina Bowins
c ,P My Commission GG 201733
o� ntl" Expires 03/29/2022
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