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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE: DATE PLANNING &: DEVELO PMENT SERWCES Building & Code Complianceiion 'BUILDINGPERMIT AGREEMENT WNT have.agreedto'be ,.'the �Sub-q"ctoufor nomhok -i Te lorvPsc P-#Ma.q:contractor) For the project located at-35-35- — I?OZ—QPP-0,000— it is understood that, if there, is any p I 44nge,.of,st#tq i 9 p ip4t.,Q With -,. _ mentioned 4 �Oijr, Attic i n the Above, project, the Building and,C�.dq";�# V: .' on Division of St. L-Acie County -Will be advised. pursuant to the Alin of a Change of-Sub-.co;:ltrac:tor� a.7 CONTRACTOR ,SIG 11ATURE,(Q0A, , '$ !M-CQr )SkG ATV hallfli PRINT NAME &C1Rz1z(P3y COUNTY CERTIFICATION NUMBER State of Florida, County 0fli ipvp The foregoing Instrument was, sl fore n� Othis 17�0 o gned he y f (nArCA WZZb, (2,Aber--f0elso0og who is personally know _or has produced a as identification. STAMP 914ture elf Notary ]Public Print Name of Notary Public RONALD JAMES NARBJTAS Notary Public - State of Florida of .024 RM"47i commission #,HH 028442 Royised 11/16/2016 My Comm; Expires Aug 5, 2024 Bonded through National Notary Assn: PW30-10�o-7 VOUN VWX I , lQN,NUXBER 'Slelp of Florida,FCq4qtY 0, f de 'The*qreg0lk1g,ids"meqt wgs signed before me4418 I.? day of MA!�h 29.& byA 04M RACC- -,who ls,ve"AOIU@�oyknown x.or:has produced s mi identification. ,r'!"ro�.of F!9Try RONALD JAMES NARBJTAS Notary Public - State of Florida Commission # HH 028442 My Comm. Expires Aug 5. 2024 Bonded through National Notary, Assn. PLANNING &,DEVELOPMENT Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/lldivldual Name) f (Type of Trade)( .have agreed to be Sub-contractot ,for Aey1©L44kC" , j Arlo [oy�� (Primary Contractor) or the project located at Z— oo z:0 — o® o _ (Project Street Address or PropertyTax ID #) is understood. that, if there is any change of status regarding our participation with the above mentioned the Building and Code. Regulation. Division of St. Lucie County will be advised pursuant to the of a Change of Sub -contractor notice. PRINT NAME I c6e� 9�Zzfo3�/ COUNTY CERTIFICATION NUMBER State of Florida, County of L.u0 C The foregoing instrument was signed beforemethis day of �mwlr�i .20Z?,by AOL-1^.9-op� 01 who is personally 1mowzr'11�' or bus produced A as Identification. /t _ r� ` STAMP S oat a of Notary P blic RvKt.ald A144 c4v+S Print Name of Notary Public ^ RONALD JAMES NARBUTAS + : `ao-e`..' Notary Publlc State of Florida Commission # HH 028442 Revised 11/16/2016 of My Comm. Expires Aug 5, 2024 Bonded through National Notary Assn, G 1�z I /-) YY COUNTY.CERTIFICATIO. N 1TMBER State of Florida, County of O L vei c The foregoing Instrument was signedbefore me this fday of f riHindi . 20,�, by id')1 <fCXC-— wbo_ls personally Imowu2 or has produced a as identification. ��f STAMP ature of Notary Public Print•Namevf Notary Public AMESNARBub is - State of F.oridaission;HH028aa2 U . Expires Aug 5. 202a National Notary Assn.