HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #. Ls� ` . -7 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 r�" have agreed to be
(Company Name n ividual Name ,
the i of , 'N 01A i V1 Sub -contractor for Sa 0 W& LA
(Type of Trade) (Primary Contractor) , r
For the project located at ��� . . ?; 3 gG'i�t I-7
.
(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 ofa Change of Sub -contractor notice.
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CdNTRACTOrt SIO'NATURf
(Qualifier)
al it
PRINT NAME
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COUNTV CERTIFICATION NUMBER
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State of Florida, County of
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The foregoing instrument was si ed before me this day of
2�Jby S %
who is p rsonally known _or has produced a 1AAA`
as id e 'cation. AMP
Signature of Notary P60ic e 6
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SI?B-LONTIVTOK SI9NATURE (Qualifier)
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PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of �'/tc 1 o
The foregoing instrument was signed before me this da of
M. ,2�)by(
who is personally known or has produced a
C
as identification.
STAMP
Signature of No ar Pu he
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Print Name of Notary Put is // Print Name of Notary Public
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HUMPNREY .s.•�
AUDREY B G 300817 gYFU AUDREY B. HUMPNREY
Y COMMISSION # G ,� ... ;
:2�• M March 6, 2023 `_� ° ' MY COMMISSION # GG 300817
Revised 11/16/2016 *; c'_ E)(PI'ES*iters ;•: EXPIRES: March 6, 2023
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Bondedll11 Now '" FOF «°"' Bonded Ttvu Notary Public Underwriters
PERMIT # ISSUE DATE
AA6 4�-•- awl (S
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT
JUN 23 2021
SUB -CONTRACTOR AGREEMENT St. Lucie County
Permitting
have agreed to be
Name/Individual Name)
the
Sub -contractor for
(Type of Trade) }} (Primary Contractor)
For the project located at � OC 1 i n . fit. �A . P� of CC . 1 � ]--
(Project Street Address or Propdrty 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.
CONTRACT R SIGNAT E (Qualifier)1, ,,
c?Gyri 0oo
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me thiso1�'k_ day of
by'So+rnbO-n b 1� ��i��a `�'=i—
who is personally known _or has produced a yl. A
as identification.
STAMP
Signature of Notary Publ'
D C A. —5
Print Name of Notary Public
c
o6a`�aSt �2 �f „09aa
Notary pu's'„ . -1y 0gb35 025
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0 omm �a;,ona:tiotary Assn•
And thtout3�cs�"`'�
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SU -CONTRA OR SI NATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County oft �
The foregoing instrument was signed before me thif day of
3UrP— , 2e4A by
who is personally known _or has produced at —
as identification.
STAMP
Signature of Notary lic
Print Name of NotaP r
Y'P�• DEANNA GIVENS
Notary Public . State of Florida
Commission = HH 086359
M Comm. Expires Jan 28. 2025
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Banded through National Notary Assn.