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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# : 1 ISSUE DATE
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PLUi4f�J
G& DEVELOPMENT SERVICES
V, `` Building & Code Compliance Division
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BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
t
l
o ,i ve agreed to be
ompany N e/Individiiai Name)
the 7 '/�� y�Q, Sub-contractor for i
(Type of Trade) (Pri Contractor)
For the project located at
(Project Street Address or Property l ax rr)
I
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.
CONT iG (Qualifier) O I URE(Qualifier)
i
t
"PRINT NAME PIUNT NAME
i
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of lC� � State of Florida,County of
The foregoing instrument was signed before me this d)ay of The foregoing instrument was signed before me this R I day of
le 44-1ZO�1 by /� _ Zv/ i n ZO_Ll by
who is personally known has produced a _ who is personally known Zor has produced a
P
as idea cation. as iden' cation.
STAMP STA➢'IP
S a o btic tgnatu to If
" t Same of Notary Public Print Name of Notary Public
BiIEMDA ROMER07fFD
........... �RE14DA ROOM*IEIAAYA
Notary Public-StateNotaryPuYIiC-Sute of Floriia
Commission t GG �` Ummission GG 206712
My Comm.Expires Apr 1 !' My Comm.EaPires Apr Il<,2022
Yended thoNatienal.Nog '4 nded through Nitionai Notary Assn.
R
PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
M21v Building,& Code Compliance Division
COUNTY %
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
D � have agreed to be
! (Company Name/Individual ual Name)
i the Sub-contractor for �e 1
(Type of Trade) (Primary tractor)
r
;For the project located at _
(_.,,ject Street Address orPropert3jFax ID#)
- I
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
I
filing of a Change of Sub-contractor notice.
R
CONTRACTO GN (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
1
tC
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER/�d
State of Florida,County of /
,R State of Florida,County of s� �a(,2�i ty
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
© 20�Ll by l a u 26&b ���
who is personally known ur has produced a who is personally(mown_or has produced a
aside fic tion- as'identification.
4yYu-
STAMP STAMP
Signatu a of nature qt Jot:iry Public
Print Name of Notary Public Print Nam4 of Notary Public
f,�'..,, ERENDAROMEMZELAY12�022
NonrY Public-State of Fl
< Commission t GG 2067
dY'My Comm.510 �,it Notary Public State of Florida
throughWat,,,, *WV Amy Lynn Alexander
iloa�e+ My Commission
1111 HH 185038
Revise 11/16/2016 EXp.1 0/1 112 02 5
PERMIT# ISSUE DATE
s r_ PLANNING&DEVELOPMENT SERVICES
Building& Code Compliance Division
BUILDING PERM''.['
SUB-CONTRACTOR AGREEMENT
have aged to be
ompany Name/Individual Name)
the .v1:=9'e -13 Sub-contractor for
(Type of Trade) (Prir n"Contractor)
I
For the project located at r!z )/4 4A
(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
I
filing of a Change of Sub-contractor notice.
CONTR OR ST E(Qualifier) 51T-+CO O NATURE(Qualifier)
I
PRINT NAME ^�� PRINTNAME
f 1
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
y I
State of Florida,County of '�T v�i State of Florida,County of
The foregoing iuustrumentt)was si peedd befiore me this Z -day of � The foregoing in0rument was siga�ed before me this z Lday of
c.) 2Q,Z4 by ( �e1,®., `I;�s— ,.V 0 20`U by "
who is personaAy known 12or has produced a who is personauy'known Zor his produced a
:aan-a 'o
asideotificat' n,
STAMP P STAMP
iy blic Siguffur6orwa
FnntNimeofNotnypubbc 1PrmtN'amegfNotaryPublic
F
a. 8REH0A R01wfRO'1 f'y
eat
xamry Public-sty:: Hmlda gpptpARUrERM AYA
7 � Commisvvn:GG 20d1�2 /'' .t Public-state of H°�da
'?s L Ay CO(r.T.Fx;iresApr 18.2022 I� xotary
Eui�k�tl r4�5o a+t�naf Nagy Assn. Cammisskn i GG 2Db1fl
wa rayte+nm Eap�nesApr1B,2022
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Revised 11/16/2016 grmdedtloouthxAronrul'Assn