HomeMy WebLinkAboutSub-Contractor Agreement0512412018 08•23 RM Q M�/ 7C JVv ,w� • •---•' • —
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PeRMITO I I ISSUE DATE
PLANNING & MWELOPMENT SIMICE RECEIVED
Division
:��'• Building &Code Compliance
• APR 15 2021
SUELDLNG PERMIT
allxCONT"CTORAGREEMENT ST. Lucie County, Permitting
(CoName/individual N1+1nt
the t4 el
('Type of Trade)
For the project located at
i
have agreed to be
7 Sub -contractor For
(primary coubmator) 1
It is understood that, if there is any change of statue regarding Our participation with the above McAtioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursua41t to the
filing of a Change of Sub-contr r notice. '
i
CONTRACTOR 51WATURE (QaoiU{or) S RB (Qua1191eq
P DAME PREW NAME
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q_y.
COUNTY t fMCATION NUMHER G011N7ti' C&[. i cfICATION E
state of F1ori0#. County 6tatc eC'Florldw• County
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SHERRI FEHLMAN
tPR. aue��
Commission # GG 187160
Expires March 14, 2022
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STAMP
SHERRI FEHLMAN
Cpmmission # GG 1$7160
Lxpires March 14, 2022
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Bonded PiruBudgetNote ryServioes
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ,
RECEfVCD
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ' APR 15 2021
ST. Lucie County, Permitting
have agreed to be
(C m ny Name/Individual Name) Q /
the /%n A /��ij Sub -contractor for
(Type of Trade) I/ (Primary Contractor)
For the project located at
Street Address or Property Tax 1D #)
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
ifiling a Change of Sub-contr ctor notice.
l
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CONTRACT W SI/G�NA/TURE (Qualifier)
PRINT
PRINT NAME
- '�)' �V'5s
COUNTY CERTIFICATION NUMBER
-
State of Florida, County
e f rc ing instrument was sig before
me this day of
2ll_/ , b
s r onally known or has produced a
as " enti latio
STAMP
mature 4Notary Public N/
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SHERRI FEHLMAN
o,�pNY
'on # GG 187160
Print Name of Notary Public F.
Expires March 14, 2022
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Bonded ThruBudget Notary SeM=
FOFF`O
Revised 11/16/2016
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B-CinONi RAC R SIGNATURE (Qualifier)
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PRINT NAME
aZ �27ss-
COUNTY CERTIFICATION NUMBER
State of Florida, County oft6 r
The foregoing instrument
was
by
who is personally kno>a-�c
of Notary
me this 15�_' day of
has produced a
STAMP
Print Name of Notary Public =oeP e�c
SHERRI FEHLMAN
. , *
Commission # GG 187160
b �1QExpires
N9r 1
March 14, 2022
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Bonded Thru BLdget Notary SWces