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Sub-Contractor Agreement
Z aUJ5-UUN'FHACT0R AGREEMENT (Company Name/Individual Name) have aeed to be the Sube C c -contractor for Q (Type of Trade) 11 (Primary Contractor) For the project located at L N AQ 0 (Project Street Address roperiy Tax ID #) �cecEqW6 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. aMATIA CO cfOR S^IGNAT E PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of S 1e 1C"r L The foregoing instrument was signed before me this 161 day of Ot^ o e—, , 20n by who is personally known ✓or has produced a as identification. MA DE LA LUZ VELASCO 0. MY COMMISSION # GG050399 Signature of Notary Pubic '• , ,,, 285T' ce 1 t. 'Z \3 Z_ CL 5 C o Print Name of Notary Public UB-CONTRACTOR SIGNATURE (Qualifier) PRINT NAME ,22 y� z COUNTY CERTIFICATION NUMBER State of Florida, County of.L The foregoing instrument was signed before me this J! tday of who is personally known %-�'O_r has produced a as identification. '— `� •�' UZ VELASC84 p Signature of Notary P c MY COMMISSION # 0GO50399 4� 7 ,!r PIRES November 28, 2020 4 Print Name of Notary Public Revised 11/16/2016 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT' SUB -CONTRACTOR AGREEMENT Company Name/Individual Name) have agreed to be the ,a � �\ Sub -contractor for (Type of Trade) � e (Primary Contractor) For the project located at 3 O i� ��2 (Project Stre�Addre�s�froperty 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. LA k- CON CTOR SIGNAT RE ( tfie PRINT NAME COUNTY CERTIFICATION NUMBER State of fiorida, county of 13A -Vic-Le— The foregoing instrument was signed before me this day of �C"*� ✓� -'--Y 20, by Z �` who is personally known —"or has produced.. 4' as identification. MADE LA LUZ VELASCO MY COMMISSION # 00050399 �. z✓ EXPI E November28S?IO Signature of Notary Pub I I 17 Ue-�ItS C G Prmt Name of Notary Public Revised 11/16/2016 bUn-U0NTRACrOR SIGNATURE (Qualifier) PRINT NAME — �/6 ` -/ 7 b COUNTY CERTIFICATION NUMBER ! State of Nlorida, County of sv � C.� e The foregoing instrument was signed before me this LL),day of 20]_1 by t (aW opt.3-q S "-A-NQ� who is personally known +ior has produced a as identification.o MADE LA LUG VELASCO :•: •`e MY COMMISSION # GG050399 0. FIRES NovemberSTAMP Signature of Notary Public < i� Print Name of Notary Public aU IS-UO N'FRACTOR AGREEMENT 1/� � 1� ,n d 1, � l � I --� �-- have agreed to be (Company Name/Individu 1 me) _ the _ � 1 / C Sub -contractor for �fi Co \Z Type of Trade) } (Primary Contractor) For the project located at CYC P `t (Project Street Addles 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. COq NrTRACTOR S GNA E (QuaXine PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of o A V�CL ,� The foregoing instrument was signed before me this 1.�y of ` O _ 20� by © �o who Is personally known or has produced a as identification. �MADE LA LUG VELASCO '= MY MISSIONOW50399 Signature of Notary Public ,EXPIRES November 2e, 2020 `& c o Print Name of Notary .Public SIGNATURE (Qualifier) eAr15 PRINT NAME * aq� Le4 q COUNTY CERTIFICATION NUMBER State of Florida, County of '% L4&4i e. T e foregoing was signed before me this 1c day of f (6 be)4', 20 l'Iby �I 0-MC5 C 7 who is personally known —Zor has produced a as Identification. Signature of Notary Public SABRINA L. BLACK Name of Notary Public �\0!" NA L, ••1,Missioy'• ��''�• STAMKP % IW•'S #FF195337 9` ;�,��a�a�nN •��:� Qom: Revised 11/16/2016