HomeMy WebLinkAboutSub-Contractor Agreementr'
PERMIT # ISSUE DATE
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PLANNING & DEVELOPMENT sE'iIZVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
5 V1; 61J L / er- 7r r c-- --c _- 4 e- have agreed to be
(Co parry Name/Individual Name)
the E l ec: T r , Z / Sub -contractor for CstJ ! A 4 t Qe c, e— lu ^
(Type of Trade) —�
(Primary Contractor)
For the project located at
(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)
PRIlVT4AW
COUNTY CERTIFICATION�N' jum BER
State ofFlorida, County of
The foregoing instrument wag
`signed before me thisx� day of :.,.
20\1 by l i k c s� ��.@ t� �- �►11 '.
who is personally !mown —y—or has produced a
ra �.
as identification.
��•'� STAMP
Signature of Notary Public
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Print Name of Notary Public
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Revised 11/16/2016 512sf
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403-tOS-f-RiC4jfO—RSIGKAVURIE-(QuaRfier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �U Lve_
The foregoing instrument was signed before me tbis)L�' day of
ESL : 20 by�JQW\I *J
who is personally known -V —or has produced a _
as identification.
STAMP
Signature ofNotary Public
Print Name of Notary Public
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:.:. Cemmissioll'# GG 022076
Expires ,2020
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PERMIT# ISSUE DiATE
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Wi!4&TRA146E
Cam, fort 0o-n.trOY of St. Lucie -Caunty, lAc.. have agreed-to'be
(Coinpasi�' Nauee/individ�al
the HVAC Sub-c6nitiftrfor Wymna Deve:lp-oment 'Ceara.
(T* OfTra el) (Primai3► Oxwtractoi•)
`�1 c
For the project Ideated at
'(Project S#roet A;ailiresss & ►roiiaity Tax M
It is liriderstood:th;i , if there is any changed 'gat I'r$ ding our pahioipadonthe Owe mentioned.
'project; the Buifd%i!tg and 'Code Regalatioki Division of St. Lucie County will be advised purswnt to the
filing of Change ofSub-coiitractor-notice.
GONTAAGTOIi SIGNAn- W (0fin Sterr).
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PRINT'NAME
COI NTY CERTIFICATION NOMER
$tare of1G'larida, Coa�aty df ST. e, E ?
The fottigoing iastruaientW" s;Enea hefore me thus- ay of +`
.204, by . a
who is personay. known or Ass pAaced a
as fiientif�cation.
Q1J0!lA'�'P a �t7t ' . STAkVII'•
Signature oi`1Votary ' �aQ ,
Print•NaoieofNotary blia
DQROTHYANN BIiSKIN
gH ,_ MYCOMMISSION#GG030145
EXPIRES Octaber2,2020. .
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Revised 11/16/2416 ,
COUNTY C1rRTIIri'C'U10NNUMBER
State of Merida. County of S ccs i A -
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• wAo ispe1rS0>osilly lma�wn �r has pYodaced.A '
as identification,
t.� STAW
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DOROTHYANN BASKIN
MYCOMMI$SION:#GG030t45zo:EXPIRES: October2,2020
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PERMIT # ISSUE DATE
Fy},y�I D'A '
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
pMmpany Name/Individual Name)
the- WmblncA
(Type of Trade) 113
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
for : •e.. �-e vQ o men a R p
r11f1 p
(Prim ry Contractor)
ems.
(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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'PRINX NAME
Im.
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sir . C
The foregoing instrument was signed before me thlxl.( y of
who is personally known =or has produced a
as identification.
Qlo a.
Signature of Not Public
_b0 Aa—&R 4 Aly?') '6 / sfie'fy
Print Name of Notary Public
DOROTHYANNB.ASKIN
°; MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Rev
SUB-C CTOR SIG ATURE (Qualifier)
Lu d l u M
PRINTNAMEE
COUNTY CERTIFICATION NUMBER
State of Florida, County ofN�C,I
The foregoing instrument was sign d before me this411 day of
�yw-e ,20 ,- DNr4 Llcd11t I/�
who is personally known _or has produced a
as identification.
STAMP STAMP
R".hw&
ature of Notar4PiblHh"
Jridt�Na.iNotary Public
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t;AYP�eG, RHONDA LAFl•ERTY
MY COMMISSION # EE854297 r..
EXPIRES JanuarY 08, 2017
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DOROTHY ANN BASKIN
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EXPIRES: October 2,2020
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My COMMISSION # GG 030146
EXPIRES: October 2,2020
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