HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT0512412018 08:23 ON u nnit ra ww,wr
PERMIT* ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s
BUILDING PERMIT
SU&COWfMCTOR AGREEMENT
have agreed to be
(Co NamrJIndiWual Nww)
theme Cer' Sub -contractor for _
(Type dTrade) (PI
For the project located at 2�
(Proieat street resa or property Tax ID _.
It is understood that, if there is any change of statue 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 'CO.
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Tbu� loregoing 1n.etumeat waaet� store me tbtZ d The ragolog lartratlwnt Nor al t++ re me lbtat day of
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who is p.rraoartr!mown _X _or has ptroducad a who is P tty Bmown ae tine prod=O o
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a! l r reaIIati tlon.
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sizootureer ary ruou turn of N ubUc
Prlat Kum of Notary Public
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SHERRi FEHUAAN
Commission# GG 187160
Revised 1111t;1ao16�r'j
Lxplres March 14, 2022
t'aMJw Ttu'd f?udgal Notary Services
print Name of Notary Pubic
! SHERFI FEHLMAN
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Commission # GG 187160
Expires March 14, 2022
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6dh&dThruBudget Notary Services
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(C m ny Name/Individual Name) O /
the / fI i ' // Gj Sub -contractor for Z Q anele'
(Type of Trade) (Priimarary Contractor)
For the project located at ����Q� Y/L0/
(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)
eo,8 &,2-7 _ A ,-�
PRINT NAME
4� 9?
COUNTY CERTIFICATION NUMBER
State of Florida, County dx_�&
The oregoing instrument was signep before me this 7 7day of
, 2� �
who is personally known or has produced a
as i 'fication.
STAMP
Signature f Notary Public
Print Name of Notary Public
SHERRI FEHL.M ""
RY PUg
�P !i
°
# GG 18716
_° = '�
Commission
March 14.2022
N oe
r_xpires
BondedTtwBudget WaryServices
Revised 11/16/2016 lFOr-F-°
SU -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County o
The foregoing instrument was signed before me this 7—#*7 day of
/4k , 20�/ �/Iel�,J
who is personally known, ,&/—or has produced a
ide r ation. e
STAMP
S nature of otary Public
Print Name of Notary Public
SHERRI FEHI fM
°�ARv Pue��c
4 ''�
Commission # GG 187160
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Expires March 14, 2022
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BondodThruB,dpetNotaryServices
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