HomeMy WebLinkAboutSub-Contractor AgreementPERMIT#k ISSUE DATE `
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PLANNWG & DEVELOPA.ONT SERVICES
Building &� Co& Compliance Division
)BUILDING PERMIT
SMCONTRACTOR AGREEMENT
5 IAJ e- / er'•. c- have agreed to be
(Cu puny Name/Individual Name)
the l �'c , , z / Sub -contractor for LA,� - ;j n t ,0 &1Cfy0^ e_
(Type of Trade) (PrimarTy°. Contractor)
For the project located at I�s C
(Project Street Address 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)
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COUNTY CERTIFICATIONNUIGIBER
State of Florida, County of q
The foregoing instrument was signed before me thisNI_ y of
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who is personally known _i�_or has produced a
as identification.
STAMP
Signature of Notary Public
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Print Name of Notary Public
S&WICONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION � NUMBER
State of Florida, County of_ve_
The foregoing instrument was signed before me tbis)L�' day of
who is personally known -\/—_or has produced a
as identification.
STAMP
Signature ofNotary Public
Print Name of Notary Public 6
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PERMIT# ISSUEDATE
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Ski$-ONT- RACTd t AGI EMENT
Goinforlr C :ntraY of St. Lucie -County, Ific.. haveagxeed'to'be
(Company Whinedudividual Nance)
the iiVAC Sub-Coiftetor-for W'y ma- .D•e-Velp:um,ent Cora.
(Type Ofi e) Ofidaiy'Ceattutor)
For the project pirated at
Itis undorstood:tilai, if there is any change'of°status regarding our participation! with the above mntivned .
project; the Du!16ig'and Code Reg[Ilatioh Division of fit. Lucie COMW will be advised pursmnt,to the
filing of a Change of Sub-coiiWetor'notice.
CQNTIE�CrO� SIGNA�'iJRE (Quapffer).
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State oi't~'tOrida, Coamty of ST. e E
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who is personeuy knowA ✓r hsa prbducei a -
as ideniif�aatiom
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DQROTHYANN BASKIN
MY COMMISSION # GG 030145
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COUNTY CERTOMATIONM MSES -
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PERMIT # ISSUE DATE
COUNTY ..
F L 0 R 1 D'A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ppany Name/Individual Name)
the' NAmb
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(Type of Trade) 1.3
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
for
(PrimAry Contractor)
For the project located at _:> ".0 \,--I UV.11�_
(Project Street Address 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)
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�NF NAME
SUB-C CTOR SIG ATURE (Qualifier)
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PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LU el.State of Florida, County of i.! LC.I P__'
The foregoing instrument was signed before me thAll"'d yof The foregoing instrument was swnneed bee ore me t/his��ay of
-y>0V-l' , 20_V,by_
who is personally known _or has produced a who is personally known _or has produced a
as identification.
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Signature of Not& Public
Print Name of Notary Public
D6ROTHYANNBASKI
MY COMMISSION # GG 030146
EXPIRES: October 2, 2020
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