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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTL PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/In�di^ury'dua1N1 m)� the %L,,..-- . Sub -contractor for (Type of Trade (Primary Contractor) For the project located at //3 . �.� S'A p" T� Y 10, y rr 7— (Project Stree &res 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. P .�CONT r `nI �2�SI SX -If E`(Quali 'er) PRINT�E COU Y C RTIFICATIO BER State of Florida, County of 74M e T e foregoing instrument was signed before me this day of �J 2QZLby 4 ) I who is personally known _or has produced a as identification. 115 I STAMP Signature of Not. Public dw'zp Print Name of Neftary Public AUl)? B.HUMFHREY PUO MY COMMISSION # GG 300817 *_= EXPIRES: March 6, 2023 Revised 11/16/ 1i;FOFF;°PQ 13ondc Pobli� , r l ]3=GO - IRAr R'STGNATURE (Qualifier) �a P�j iQA�— UU CO Y CERTIFICATION BER State of Florida, County of ) &( The foregoing instrument was signed before me this day of 2QZ by I who is personally known or has produced a as identification. STAMP Signature of Notary ly4blic '%Qk-g> ReA 4)tA, hn6- Print Name of Notary Pi blic AUDREY B. HUMPHREY #: ,= MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 FOF F„�Q' Bonded Thru Notary Public Underwriters PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company l�iame/Indvidual;Nlame_)_, the Sub -contractor for (Type of Trad (Primary Contractor) have agreed to be / For the project located at i ?n;e2e-e- y E 2- (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. 21 ZCONNTRA 'IIR Si 4A-TTJRE'((:ualifier) - . _R CO •RAC R SIGNATURE (Qualifier) PRINT; _ AME C01711PY CERTIFICATIOER State of Florida, County of d 7 �� e -XT e foregoing instrument was signed before me this day of 1 )77 , 2QZLby 4 J I l who is personally known or has produced a j C as identification. 1 STAMP Signature of Nota Public ��►� s- Print Name of N tary Public A:JDREY B.1-fUfur'PIIREY YaG��c; 300817 tV CO'�1 1SS{ON # OG 'EXPIRES: fvi Pubt�� �?rvvri!ers �s Revised 11/16/ 1�r�°` 6unded� e 4 i PRINT N. X UV CO CERTIFICATION ER l State of Florida, County The foregoing instrument was signed before me this day of , 22Mby who is personally (mown or has produced a as identification. STAMP Signature of Notary Fqblic . J� Print Name of Notary P blic AUDREY B. NUMPHREY *_ MY COMMISSION tt GG 300817 EXPIRES: March 6, 2023 Bonded Thru Notary Public Undenvfllers .:-�6rsa:rem.2a rPr�nSazs a": �w:+i r ti PLANNING & DEVELOPMENT SERVICES I La Im Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/I44vidual;N_ame)M1 the / Sub -contractor for ( ype of Trade) (Primary Contractor) have agreed to be r � For the project located at //3 / L 5'A d� %fir T �e i �' &e- S q 9 8 Z (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. "RE "(Qualifier) PRINT •, AME COVYTY CERTIFICATIO MBER State of Florida, County of7.1 jJ �► j e T e foregoing instrument was signed be}fo°re'miee this day of l 2qpaby who is personally known or has produced a as identification. I I _� 1 STAMP Si Sgnature of Nota Public QPN'z5> Print Name of N ary Public p `i EY vPua AUDREY f3 ,�, 4�1Y Cp�y11V1iSSlON �` GG 30081 r *i Sty!, -k EXPIRES: March 6.2023 ,ers i Revised 1.1/16/ Fiunded�h�NN°aryPub� OFF, U CO RAGA R SIGNATURE (Qualifier) PRfifiIly''T•-NAI UV CO Y CERTIFICATION N ER State of Florida, County of � The foregoing instrument was signed before me this Iday of ' 20 by who is personally (mown or has produced a as identification. STAMP Signature of Notary lie 14�L Print Name of Notary P blic ;2oYPnY?y� AUDREY B. NUMPNREY 1-0Y CC.)MMISS1UN f# GG 300517 EXPIRES: iv;arch 6, 2023 Bonded Thru NoFay Public Underurilers r PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual=Name) the Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at //.3 ,&,Z 5'p b,., ar To i �,r^.ee-e- `t t 2- (Project Street.Adelressaor Property Talc 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. CONT R SI NA`T RE'(Qualifier) PRINTS AME colorfrY CERTIFICATIO MBER State of Florida, County of -1Wr-e- T e foregoing instrument was signed before me thisy day of 20,ZLby who.is personally known _or has produced a as identification. 145 Is cj<rl STAMP Signature of Nota Public d'vz�) Print Name of Nqftary Public PJg�= AUpR4�Y 6. HUI��P� 4R3 08'17 # GG ,'o�ApY �, o �,{ CO�ib44SS40N 1V' g 2023 'P' EXPIRES: ublickind ms,: Revised 11/16/ e 1'�i'; pFF O ionded Thru (I STVTOW C I2`SIGNATURE (Qualifier) 4 z PRINT_NT_ , A1 — CO Y CERTIFICATION N BER State of Florida, County of The foregoing instrument was signed before me this jy_ day of who is personally known or has produced a as identification. STAMP SignatOmf Notary li, •SD 7 mil- �� � 6' Print Name of Notary P blic •flY?f/ • t ,=o<?•-..�.c,' AUDREYB.NUMPNREY MY COMMISSION # GG 300817 "; .. EXPIRES: March 6, 2023 Bonded Thru Notay Public Undarvriters PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company lame/Individual°:Name),; the a &:5 Sub -contractor for (Type of Trade) (Primary Contractor) have agreed to be 1 For the project located at //� C S''Qrr, ar 7� I'to, e-&e. `l y 8 7— (Project Street Addressor 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. CONT _R SI NAT "(Qualifier) r COWC� R SIGNATURE (Qualifier) 1:5�et 4'4 IV PRINTr . AME C010yrY CERTIFICATIO MBER State of Florida, County of 7.1we- ) e. -1 T e foregoing instrument was signed before me this - day of �1 20°gby J�T who is personally known _or has produced a 1 as identification. I .: �+�W/► STAMP Signature of Nota Public l/ Q�Au'z�) r-�`',��!�� rrl U—� �A q Print Name of N tary Public 6. HU1�1PI-iREY 'o.ApY PJa ,lam AiJDREY _ G'G JVOt)� I C { COiv��1iSS4Via c 6 2023 EXPIRES:« !` N: _,•.- Revised 11/16/ publicUndenrriters G - 4 C' Lim i PRIfiN�TN' . VV CO Y CERTIFICATION N ER State of Florida, County of _ A, &( f, The foregoing instrument was signed before me this day of t ' 2QZ by fir` who is personally known or has produced a as identification. STAMP Signature of Notary lic Print Name of Notary P blic , AUDREY S. HUMPHREY MY COMMISSION # GG 300817 EXPIRES: M;arch 6, 2023 Bonded Thru Notay Public Underwriters i ?_ Su^Y(5 SNk2'nRlS�aA3'�'P�Z•ET.Bl1i9YkID18 J'FP.S`6[tE13ttSSY3'::in5�"S.