HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTIN
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PLANNING & DEVELOPMENT
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stm-DwG PIP.MT
SUB'MNTRACTORAGORNMiM
(COmPsY ameAndiv &W N..' L have agrees] to be
the1��Of
...gins �.a.t t 2Y Trade) Sub -contractor for d• ��'� .
Caaaaosor) <� For the project located at .3,Z D ��w
5 , 7`" S .PrO Address or Pro peR ! ID
It is undetsGood that, if there is any ehang^e of Status regarding our WdCipadon with the above mentioned
Projecl the Building and Code Rquladon Dlvislon of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -cunt for notice_
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KELLYDELVALLE
Notary Public - State
Rnied 1144 016 `�'? of �?�`
of Florida
Commission f# HH 017606
"
MY Comm. Expires Jul 5, 2024
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7U 61"*9 bolomt war mad beh" I'el ddr , day et
who 1. Pw.,.*, .r
� a STAMP
KELLY DELVALLE
o °G'
Notary Public - State of Florida
`-� Commission # HH 017606
My Comm. Expires Jul ;, 2024
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUHMWG PERMIT
SUB -CONTRACTOR. AGREEMENT
have agreed to be
(Company Name/Individa Name)
the �i�- Sub -contractor for �'r S �i� .ram'
(Type of Trade), (P y Contractor)
For the project located at Gta S'' �' ��7
(Project Street Address or Property Tax ID #)
It is understood that, if 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 Subcontractor notice.
" C��`Il/' J0 10i��jnw (QuaiT6er)
.fie 1441� --
�PRINTNAME �— ,C!
COUNTY CERTRUCATION NUMBER
r
State of Florida, County of 8O'C e-
The foregoing iestrmmentwas signed before me thLv`day of
20&by �• � �i� 6n;61
who is personally lodown 4Ar has produced a
as iddcuttifiwatiion..
STAMP
"Si�oature of Notary PabUc T
Print Name of Notary Public
f�a BRENDA ROMERO ZkWA
`p;� NoUry Public - State of Florida
Commisnon i GG 208712
My Comm, Fipiret Apr 18, 2022
iteYi tlinoRhNatirngfttaryAan.
-21L - ��Jev,
G�it/l
SUB-CONT"CCOR GAAT1[W er)
PRINT NAME
2 67J.5.
COUNTY CERTICICATION NUMBER
State of morida, County or
The fforegoing lostr oment was signed be//fior'c rue this 4 day of
20Xby
who is pemn atly !mown _ or has produced a
as identification.
STAMP
Signs re oM tary ftblic
a,/Ad'e lk �)
Print Name of Notary Public
tsar CLAUDETTE D. PAYEN
NOTARY PUBLIC
STATE OF FLORIDA
i Comm# GG298272
• ONCE 19h� Expires 2/4/2023
PLANNING & DEVELOPMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company NameJindividuat Name)
c,//' have agreed to be
the 1-1 ', Sub -con r
//7�
(Type of Tradtj tractor for ���•,.j -, di �,i�✓ s
(Prim Contrector)
For the project located at
(Project SOW Ad&= or Property Tax M #)
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
Ong of a Change of Sub -contractor notice.
Ti (Qrr W
rKm-r NAM
co CERTMCA+ rioN KVW R
State of FbrW@, County of . i�,
Tee fore=oblF t >I n alped before day of
�-
Wbo b penonHW luoww _P/—Or Yas produced a
g1denkg
L
PMat Name of Notary Pooft
=0/111
ROMERO IELAYA
ic • State of Florida
on • GG 208712
xpires Apr 18. 2022
it`fyl MMY Assn.
_. GNATURE (Quditler)
Rtrrr NAME
CER MCA or�t N NUMW
sate of Florida, coaaty or-\=t'�e'�
The fOMPI rS bzbw wM wta before we this day of
IU31:? 2021 by
who b persooaw imown /—or bm produced a
rid`, r
@RENOAROMERO 2ELAYA
Notary Public - State of Florida
Commission a GG 209712
My Comm. Expires Mr 1r, 2022
tended through Nat.nal Ndgty /��,
STAMP