HomeMy WebLinkAboutSub-Contractor Agreementf
PERMIT # J' ISSUE DATE
,A FLANNWG & DEVELOPMENT SERVICES
Buildhig & Code Compliance Division
g
BUILDING PERMrr
SUB -CONTRACTOR AGREEMENT
5 1� l ec' ?r r t � �- have agreed to be
(Cowpany Name/Individual Name)
the L lecr % t , z e. / Sub -contractor for 6-LJ :. n ,i Aec e_ % ^
(Type of Trade) (Prim* Contractor)
For the project located at
(Project Street Address or Property Tax I #)
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 vn11 be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRIlVT N l�
COUNTY CERTWICATIONNUMBER
State of Florida, County of ,
The foregoing instrument was__signed
__before me thi X%` d of
20\1 gg``
by`� I I
who is personally !mown _i4Lor has produced a �. ,; ,•�
S&UPICOR11RACTOR SIGNATURE (Qualifier)
PRINT NAME
j �/�r�2
COUNTY CERTIFICATION NUMBER
State of R0r1d2, County of_��%'Q.
The foregoing instrument was signed before me this)L�n day of
20A4 by L11Jt1'Q*JU
who is personally known -V--or has produced a _
as identification. as identification.
t4 C`'" ` I STAMP STAMP
Signature of Notary Public ASigna=LreAof�NIO Public
Print Name of Notary Public Print Name ofNotary� Public
`koro of Florida
err r Pu�gc State . ,.�J," w
IJotaly
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PERMIT # ISSUE DATE
YIyAl l+ l l` & MWELO �-MNWSM i ES
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have agreed- Wbe
the H-VAC Sub-c'outiotor'for Wynne D•e: aIgy merit Cora .
(Type oft-f9de) �(P�ilsiary Caxwtractor)
For the project located at
�' (Project Street Address oar 0i°op* Tax -ID
It is tM6rsto6d:that, if there is any chanp-of`status regarding out paicfieipation with the above mentioned.
-projeot, the Buildu g and Code Regulation Division of St. Lucie County will be advised; puissant w the
fling ova Change of Sub-coritractor-notice.
CONTACTOR SI<GNAS'UR7; (Qfi9I'iffet).
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PRWNANZ
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COCIN'i`�' CI;RTII�i�`ATION NUMBER - --
Suite of Florida; County of Si C.
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Signature omow Vue
Print Name of Notary Public
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
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)
MuM WL
NAME
o 1912a 13
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sir - cr.�
The foregoing instrument was signed before me &0i 1-1 y of
��Vy-tom 20U, b \& ,�2.
who is personally known or has produced a
as identification.
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Signature of Note Public
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Print Name of Notary Public
D6ROTHYANNBASKIN
COMMISSION # GG 030145
EXPIRES: October 2, 2020
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SUB-C CTOR SIG ATUI& (Qualifier)
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PRINT NAME
i b;tDa'9
COUNTY CERTIFICATION NUMBER
State of Florida, County of St • �� LA 2-
The foregoing instrument was sigPobIC4
d before me -� d this�ay of
,20-U,� LUTlcIl&I
who is personally known _or has produced a
as identification.
STAMP k(ASTAMP
Signature of Notary Publi
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