HomeMy WebLinkAboutSubcontractor Agreement I
PERMIT# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division'
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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7 d1GGCrUr^ �� G�J�� J�rn�tf have agreed to be
(Co an Name/Individual Name)
the v1Z1011n Sub-contractor for'�A?
(Type of Trade) (Primary Contractor)
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For the project located at / /9 f/�rt�.ce,�� Avg
(Project Street Address or Property Tax ID#)
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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.
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CONTRACTOR SIGNATURE(Qualifier) S B-CONTRACTOR SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME 7 ���/ Ali
COUNTY CERTIFICATION NUMBER t. COUNTY CERTIFICATION NUMBER
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State of Florida,County of�Nal 9 f V Q+e State of Florida,County of
The foregoing instrument was signed before me this�day of The foregoing instrument w signed before me this day of
6cL, 20 7 by 90..At 4 I.. t 41✓ ?� 4 w 6 cw' 20 by ���✓ 1<, �� l N �2
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who is pe na ly known or has produced a who is perso all !mown or has produced a
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as identifi o as identifica' n.
STAMP 1UJ I `I STAMP
gnature of Nota u '
Pub nature Notary Pc E
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G(wGi_ 6e420a 14T<4 I/w
Print Name of Notary Public Print Name of Notary Public
GEORGE MCCULLERS
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�; MY COMMISSION#GG025905 01:� GEORGE MCCULLERS
EXPIRES August 30,2020 z '=
,q.,,. MY COMMISSION#GG025905
Revised 11/16/2016 1,%eF;;d±9' EXPIRES August 30,2020
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PERMIT# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
I
Building & Code Compliance Division
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BUILIDING PERMIT 1
SUB-CONTRACTOR AGREEMENT
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1
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have agreed to be
(Co pany Name/Individual Name)
the to`, 9O'( Sub-contractor for Adtor oca.'g
(Type of Trade) (Primary Contra tor)
For the project located at &I V1ad_,QL/-e_ Avg
(Project Street Address or Property Tax ID#)
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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.
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CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACT ZRSIG A (Qualifier)
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PRINT NAME _ PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
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State of Florida,County of �(.0 State of Florida,County off Ltom-L:i e'
The foregoing instrument was signed before me this day of The foregoing instrument w signed before me this day of
20 J t,by &.Il& l In 201�lJty tt �f ✓JQ�l
who is personally known�or has produced a who is personally!mown or has produced a
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as identification. as identification.
10� �,,,, CASEY D FRENCH .
a�P Public Stat Afp,9ZlPda r� """ CASEY D§'��1rriW9
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Sig tureo o ry b' _,p a My•Comm.Expires Dec 1,2017 Signature a P =Q"lpb� o ary Public -State of Florida
°o= Commission FF 069924 %'�`N°, My Comm.Expires Dee 1,2017
""%",'F :�'� Commission # FF 069924 I'
t Bonded Through National Notary Assn._fJ
Print Name of otary Public ``"�y" v'Ts ' r Print Name Notary Pubhit�� rough National Notary Assn. '
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Revised 11/16/2016
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