HomeMy WebLinkAboutSub-Contractor AgreemntPERMIT# ISSUE DATE
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PLAWNWG D.EVEL0#NWNT'SE kV1C- ES
Buflding & Code 'Cotioliance D elision
. APOING PERMIT I ' AM -CONTRACTOR AGREEMENT
-c have agreed to be
(CoWpany Name/Individual Wa_m;)__
the - E -lec,.r,--, -r- e. / . Sub-coritractor for
(Type of Trade) (Primary.. Contractor)
For the. project located at
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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATIONNUMBER
State of Florida; County Of_��u
The foregoing instrument wag signed before me tbis day Of
1Y-21,0C.-NO (50 by
by
W
who Is personally known Ly—or has produced a
as identification.
STAMP
Signature dfNotary Publie
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Pr1ntNameofNoftry'ftbHc
Revised 1111612016
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motarl NOP to Of;Florida
My comlyltsi". 978543
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0 CURSIGNATIURM(Oaliff.,r)
PRINT NAME
Z2, 05 IV-P-42-
COUNTY CERTIFICATION NUMBER
State of Florida, Coonty8f,4A _13"Lit
The foregoing instrument was signed before me thi,)a^_day Of
A by U
who is personally known _V _or has produced a
as identification.
C)� STAMP
Signature �OfN=V Public
Print Name afNetar1VPublic
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k1l; WbOtDGE
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My COMMISSION # GG 030145
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EXPIRES, Octd ' or'2,.2020
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Robert Ludlum
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Rhonda LaW.
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PERMIT* issuIt DATE
C6 e. Compliance Dwilsfon
V SUB
CQM'fort..00..ntrq1 bf St. 'Luc
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have agreed -tole .. -
the. H-VAC -Sub-c6nitiotbr-for wy-ape D-evelop . Mont 'Cori).
(Type of Tride) (Pt�iaY�r TO)kftMr)
' For the project idCatwd at
'(Pmject Street Addrew brP*arW Tax IDV)
It -is und6rstodd-1hato if there is my change -of stato. repiding our paMpation-with the above mentioned..
.project, the Building and Code Regulation Divisibn of St. Lucie Coniq will be, advised pursuant. to the,
filing of a Change of Sub-cofitractor-notice.
,'N--.R'MhGv Lile Wynn
NAME
COUM'CERTMATION NVIMER
State ofMoA0x,C9uaWdf 5-1,kmc e r
The fortgoilig bts"*Xit"�* signed IbeAdie me lta)_Mol, of -i*-
who ispersonally. known zor h".1pr6duced a
ns
STAW
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PIP 4. SKI MY COMMISSION # GGI030145
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COUNWCERTWrATIONNUMER
We of Florida: County of Sir LL4eci
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DOROTHYANN BASKIN
MY COMMISSION# GG 0301]J45
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