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HomeMy WebLinkAboutSub-Contractor AgreementL PLANNING & DEVELOPMENT SERVICES BUILDING & CODE COMPLIANCE DIVISION Rjuno:) opn-j •vS auaw:Weca© 6w441uaJ9d 1101 9 ® 833 BUILDING. PERMIT SUB -CONTRACTOR SUMMARY moo r �e W � ' 1 ' '6r ° will be using the following sub -contractors for the (Company/Individual Name)A Vy project located at � � 1 V . ` V�,�i F—T V% , [— , _ " (Street address or Property Tax ID #) 3 9 W It is understood that if there is any change of status regarding'the participation of any of the sub -contractors . listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical 1 L- PlumbingAr�hvrwwrl-I aWe HVAC/SfrYi Mechanical I Roofing Gas n�rr.�:,T1eF n�vr-v PERMIT ISSUE DATE: NUMBER: Company Na e/lpd the li ype of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES RECEIVED Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT In Name) Sub -contractor for �Y�13 N .l� S ifiw ect Street Address or Property Tax FEB - 3 2021 Permitting Department St. Lucie County have agreed to be Ay*of bman "7t-L6(Primary Contractor)S, 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, f a Change of Sub -contractor notice. C NTRACTOR SIGNATURE (Qualifier) ti knaO bwy) PRINT NAME COUNTY CERTIFICATION NUMBER � State of Florida, County of • �/1 v The fore oing instrument was signed before me this � day of 20Aby r��V do%Nou who is personally known or has produced a s identification. ign Bore of Notary Public Jlull e ez, rj-'- Print Name of Notary Public �a►}Y Notary Public State of Florida Julie Baird s� My. Commission GG 281841 Expires 12/05/2022 Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) knala GMA" PRINT NAME COUNTY CERTIFICATION NUMBER pgp�� State of Florida, County of �' Vu W/ The_Jwvgoing instrument was signed before me is daay, of. ,24 by who is personally known al"or has produced a as identification. kdA46" STAMP Si n ure of Notary Public Ld i 1 rd Print Name of Notary Public +P r Notary Public State of Florida Julie Baird My Commission GG 281841 Expires 12/05/2022 STAMP