HomeMy WebLinkAboutSUB PETMIT APPSPERIAIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,AV,E S C_-S' - i4 F/d%ylfl/7 have agreed to be
(Company Name/Individual Name)
the PC U1-4'BPa�. Sub -contractor for A%Jex y6i96�_ -C X- 44&,S
(Type of Trade) (Primary Contractor)
For the project located at !.�// Or
(Project Street Address or Property ax 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.
COMPRACrOR SIGNATURE (Qualifier)
PRINT NAME
ape- (459(a 96
COUNTY CERTIFICATION NUMBER
State of Florida. County of
The foregoing instrument was signed before me this _o5 da1 of
wh+a is persunall) I toffn V or has prod ured a
as identification.
Signature f Notary Public
Print Name of NotsrF_ Puhlk
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SUB-CIATRACTOkSIGNATURE (Qualifier)
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PRINT NAME
C 1pC I S E3 6.7 CG
COUNTY CERTIFICATION NUMBER
State of Florida. Counts of
The loregoing instrument was signed hefore me this _6 dar of
µho is personalh known v or i►as produced a
as identification.
STAMP
Signature of Ktary Public
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Print Name of Notary Public
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Sta'a (Y, F;Orida
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Expires 1112W2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,z-c t crn le— MI., Mdel L .
(Company Name/individual a
the ff L C e T14 ! C
(Type of Trade)
For the project located at
have agreed to be
Sub -contractor for Pf I/i?11.S' ge-. P�OGS'
(Primary Contractor)
(Project Street Address or Propertffax ID #)
r- — 93,q1� •50�7-
oat• y
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.
CONTRACTPR SIGNATURE (Qualifier)
PRINT NAME
CPC- It-f57W<J o
COUNTY CERTIFICATION NUMBER
State of Florida, Counn of
The foregoing instrument was signed before me this Sdxy of
.20-Z"by.
H ho is personall% lanuwn l! rrr has produced a _
as identification.
Signature (Notary Pubic '
Print Name of Notary Public
fVoiery Public S ;r at I;;nr'da
o Lorr.�. W 's�Y
a h9Y r%�'nn:;k..arr [ G 2311 NO
RevisediI'ih!�UI(
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SUB -CONTRACTOR SI� I.7R „ (Quaffer)
PRINT NAME
zn(!3� 13DQ 4!�3 39
COUNT) CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this �' of
. 2(4,lby eAo* el ,4 0///Z
cs ho is personally known ____ _ as produced a
as identification.
S'l _tMP 4'I-d FI1`
Signs ure of utary Puhlic
zO/r�
Print Name of Notary P blic
r :.Sry PUNK Sa:ta of i=iorida
s' « Lori A hAcm!ay
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