HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT I
PERMIT# ISSUE DATE
PLANNLNG & DEVELOPMENT SERVICES
d +► ' Building& Code Compliance Division
BIF;t MUNG P FINHT
SULI--CONTRACTOR AGREEMENT
, I
(,j have aereed to lie
(C:omilmlD N imcfindivt 1 Name)
the fC,� -r''I'tr, I Sub-contractor for
(Tyjn ofTr.Ate) -' {Ar mry�Contmmr)
Tor the project located at f 44 0c; .
(Project SU=1 Address or Propcny Tax TO-B)
.tt is understood that,if there i,s any change of status regarding our participation with the;itGove mentioned
project,the]Building and Code Rcgidation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
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li�e.Tora uim�;iastr�-rU n�ssl{�od brlam me thi5�5r tlay of The fompming,instrument was fjwd Imnmv me alb I�day of
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PERMIT# ISSUE DATE
i
x- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division.
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
!I
�� ct ���t ,�ll �• - 'have agreed to be
Company Name/indiyidual 6)
the Ili Sub-contractor for 11G1 W64�11JCo7�.S� d1
(Type-of Trade`. (Primary Contractor)
Pot the_project located at
(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.
CO R SI614AYM(Q alifier-)', CONTRAC SIGNA Qualitier)
r�11ow y/
PRINT NAME PRIM 'NAME
COUNTY CERTIFICATION NUMBER i COUNTY CERTIFICATION NUMBER ^
-State otFlonda,County 6 -UL� State of Florida,County'of�
The foregoing instrument was signed before)me this 11day of The foregoing-instrument was signed before me this% day of
20u, 11� P�, _ - ,20v�f by1aV/Y2C312C;� n(.iJI,CS aq
who is personally knowcor has produced a who is personally known�r has produced a
as ideniification. as identification.
7`i�i STAMP
Signatde of N t Public `.� ,• �wSIOM •0, 44 Sig re of Nbtary Public
• ���1�,�5,2p?S/�•. i
Ara W94D
Print Name of story Public S PrintNam- a of Notary Public
y #HH 101653
y y •'l p°nded
(280nded
SMANNECOLLINS
���fUfilNl1111\\\\ W COMMISSION#G(k89441
EXPIRESs FEB 24,2023
Revise&71l16/2016 through 1st SW6 Insurdnee
a
PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division
i BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
lv � have agreed to be
(Company Na /In ' "dual Name)
the Sub-contractor for 1P l b Ylt�.lCtot
(Type of Trade) (Primary Contractor)
For r the project located at I _1 g D S 31 � y e-AL r ,
(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.
QL
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�M
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualities)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of •L State of Florida,County of •1.A t•�.A 1 Ct e
The.foregoing instrument was signed bef ore
,me this 0day of The foregoing instrument was signed before me this�d y of
20 L b _II/I l P 1 'F h n K LD �QU,by LaZ 1'(� �n
who is personally known_or has produIced a who is personally known AZ�0;has produced a
i
as identification. as identification.
M. !zz*
Signature of N ry Public j G�w�Y 5,?5 .2 S' ature.ofNotary Public
_ g `Print Name of Nota Pdblic ! Z e 101653 * Print Name of.Notary Public m i;y o
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toRevised 11/16/2016 r
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