HomeMy WebLinkAboutSubcontractor AgreementsPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
, dA 56A,
(Compa4ame/Individual Name)
i f
4 Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be
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(Primary Contractor)
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(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.
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CO/NTRAC OR SIGNATURE (Q tfier)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of e &
The foregoing instrument was signed before me thisday\of
20Pby
who is perso 11y know has produced a
as identification.
STAMP
Signature of Notary Publi
Print ame of IlVoraK Public
4e Notary Public State of Florida
Danyel Jones
My COrhmissior Jp 362018 Revise 1 lR Expires 07/04/2,,,:
t
SUB -CONTRAC OR SIGNATUR ( al' ier
PRINT NAME
COUNTY CERTIFICATION NUMBER
e
State of Florida, County o o L L� jL
The foregoing instrument was signed efore me this1-1�_ day of
Cl Lk , 2� by
who is perso al known- or has produced a
.as identification.
Notary Public Slate of Florida
Danyel Jones
23
E VCeom0ss0o23 352016
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
E1Cdr1"i'-
ripany Name/Individual Name)
o r_
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
have agreed to be
r- R'94W) CcS
(Primary Contractor)
For the project located at M O tJ Ocm afAra' l cA
(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 ub-contractor notice.
C TRACTOR S GNATURE (Qualifier)
Reber P4,
PRINT NAME
C 13o cl- 175
COUNTY CERTIFICATION NUMBER
State of Florida, County .. i�
The foregoing instrument was sipeA before met is� Say of
20-a by ��
who is persona y known _or has produced a Tap
as identification.
STAMP
gnature of Notary P
P='�I.d;
=07/04/2023
f Florida52016
Revised 11/16/2016
k A A ot
S - NTRACTOR SIGNATURE (Qualifier)
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PRINT NAMIE
PC/ 1olgaa
COUNTY CERTIFICATION NUIMER
State of Florida, County of
The foregoing instrument was signed before me this q�5!ay of
fl io , 20 Cby -1 no nj ti I Q
who is perso ally knowT r has produced a
as iden`lification.
Prin S6FpTrTot. I
°oU Notary Public State of Florida
Tr. Danyel Jones
... A� My Commission GG 352016
'�odnoc Expires 07/04/2023
STAMP