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HomeMy WebLinkAboutSub-Contractor Agreement7
PERMIT#ISSUE DATE
PLANMNG & D ' EVELOPAONTSEAVICES
Bufl! ding &'Cod6 Co 1.
nee Divii-si6n
................
. . . . . . . . . . . . . . . . . . ......... . . . . . . . . . .
the e— tec-l"t, -z- e.
(T31Pd of Trade)
For the project located at
BUILDING PERMYr
SUB -CONTRACTOR AGREEMENT
C_
have agreed to be
Sub -contractor for tx.) ACe1e__1q1-'1%7
(Prim* Contractor)
(Project Street Address or
Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
I 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 �
COUNTY CERTIF]CATIONNUMBER.
State ofFlorlda, County of
' The foregoing instrumentwai signed before me thisN day of
20\1 t' t t I
who is personally known Y—Ir has produced a
qM'tOkf R_k4Jf0_R SIGNATURE-(Qualilier)
yC- (-✓ V^ -C "7 6 b_5
PRINT NAME -
COUNTY CERTIFICATION NUMBER
State of Florida, County of_� �UxL%-eL
The foregoing instrument was signed before me this. nday of
. Vrl
-20� by
who is personally known—orhasproduceda
as fileaffication. as identification.
C&ICf— STAMP F'l — STAMP
Signature of Notary Public \Sign_ature of Notary Public
6. tfz
Prii2t Name of Notary'Public Print Name of Notary Public
LAVR&R-CUMEDGE
Keni C
, Bu0a..
97s543 `_--PMM1ss10nWGGQ22076
myco MOM. r-ra.
Revised 11110,016 FxplrO 0 61;090.- Tf2020.
nNqFa!nW
PERMIT# 13SUEDATE
L FMENT`S CES
:. `�, :�� � ��. `': �i�ydfrag. 8r; Ctide iColmp�Y�>rzee •Divlisfan
1
y
SM-eOiN`PRA Tf31i` AORE ')ENT
CQ" forC Ci�xtt:ral of St,'Lucie County, Inc. haveaglceed'tq'he
(Caiitpan�• NamelindividuaT Nye} .
the H.VAC sub-c'oitl otor-for WYane De:.Velopment Cora
(T* Oft e) jFtvnarji Cax►tractor}
For the project located at� GC\ `► ' • '
This Und6rsto6d..1hat, if there is any change -of status rega>idin9 olir pa €icipatio with the above montioned•.
'project; the Sciilditand Code Rejolati-6h Divisib-n of St. Lucie County will be advised purswntto the
filing of a Change of ft-contractor-notice.
ZU—N iACTOR SIGNATURE (ONARer).
-Ka.,tthew Life Wy-?ne
PRIl�T'N.1m
d$098
COUNTYCERTMCATION AIMSER
state ofYS' oma, County of 51 . e 0-
. �h
The fo► iphig iosteaoht�cva3 dped before me tmm ay of +
who ispersonsliy.known _!!�.orhsapiogneeaa
as iaebfifieatiom
rigo'stnre ot'1�'otasg ` blic Q
M Ktr
)<!rile 1�aoieofNataryl'itblic •
DbRONYANN BASKIN
_ MY COMMISSION # GG 030146
i`rr;PF EXPIRES; Octobe[2,.2020..
�'! r�i1'iii��1.��..8b(IdEEI71lN'i`1018QCPIIbIk lll}d2M1Yfl(EI8
Revised l 1/16/21116 ,
COl]N'[`YCERTE ATIONNUMMER
State of m6r1h; County of S-T
The foresoinz instrument wis steed bef a me &4f ' , aa\ y of
��Vy.' 2 T� ��,�,, by�CR�C • � ��AtnA2'Vu1O:(, .
who iv pek"alty ktaowu _e-or Las Produce&$
asideuti6cation,
• ���Gt�, • STA1Vlg
Signature of Not* c
print 1Vame of Notaty Puhltc
��������"' DOROTHYANN BASKIN
:; : ;. MYCOMMI$SION.# GG 030t45
o` €XPIRES:Ootober2,2020
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PERMIT # ISSUE DATE
1 .NT
F L 0 R I D'A
PLANNING & DEVELOPMENT SERVICES
Biildimg& Code Compliance Division
p ompany Name/Individual Name)
the- I L 1M h
(Type of Trade)
For the project located at
BUILDING PERMIT
'SUB -CONTRACTOR AGREEMENT
(Project'Street
have agreed to be
for L0\ ftn-,O. ��e YQ o mep caPLO
(PrimAry Contractor)
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of,a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
WL '
� NAME �I -
o S$P,13
COUNTY CERTIFICATION NUMBER
State of Florida, County of GTr Gt.e
The foregoing instrument was signed before me this�lflay of
��uwZ , 20", by0.��2
who is personally known or has produced a
as identification.
Signature of Not Public
Jm.R chi 1-l*-I J+/V rj %j ASKa rJ
Print Name of Notary Public
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
%'F'••"e `'� Bonded Thru Notary Public WeWteis
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Rev
SUB-C CTOR SIG ATURE (Qualifier)
PRINTNAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S� • Lli C,1 +__ ��(h
The foregoing instrument was sign d before mme this\-� day of
,vim , 20�,� ©iper1 LuIiut,,�
who is personally known _or has produced a
as identification.
STAMP Rhwd A--M -&U"— — STAP
Signature of Notary Publi
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My COMMISSION# GG 030145
EXPIRES: October 2,2020
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