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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed -to be. (Company Name/Individual Name) the p �� � Sub -contractor for i 4-� J- e . (Type of Trade) OPrimary Contractor) For the project located at f yU Y 40 A) �e7 j A) (Project Street Address or Property Tax ID #) t.`©g-S v5 oG / j— v O O s eJ 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. �1161111cl A �� CONT CTORSIGNATURE ( :J-014 ti / - Ih �+ Y PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of fir— tGte­ The foregoing instrument was signed before me this 12-- day of 20[_7by �" VN who is personally known or has produced a as identification. STAMP Signature of Notary Public G/��-, �:%vim �► x�, Print Name of Notary Public :►" °�''•• WILLIAM H DONOVAN JR MY COMMISSION # GG093576 EXPIRES April 12.2021 Revised 11/16/2016 0"Vav Q/ e�p S ONTRACTOR SIGNAT (Qualifier) _34 I-s LD L4rL) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of_azC/ The oregoing instrument was signed before me this / Oday of 2oL/by 1,-) L-,4-C." � who is p orally ImownN//or has produced a as id cation. AMP Signature of Notary Public b,&L ,, � AP--p u)o "4 c,� P mt Name of Notary Public ` '.NNE. BROWN WALMACH My COMMISSION # FFOM63 �'��• ,,, EXPIRES April 21, 2020 f�07 99"153 F►wWeNft rY9erviee.com PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT /�l LGS j p�®pL S have agreed to be (Company Name/Individual Name) the f �L, a to & / ao G— Sub -contractor for :I'&l (Type of Trade) (Primary Contractor) For the project located at () AdAM- A1,9_ M.(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. t - __ "w /--< CO CTOR SIGNAT 2ualif r) 1'off d /yl • rn.14 V 17.71`►YOu.1u1y c�2,B7&7q COUNTY CERTIFICATION NUMBER State of Florida, County of Sf- L,_IzcC- The foregoing instrument was signed before me this day of 20l,by Y-" who is pe sonally known k/)or has produced a as identification. STAMP Signature of Notary Public 464� /� Print Name of Notary Public e•:►"�'• WILLIAM H DONOVAN JR MY COMMISSION # GG093576 EXPIRES AP61 12, 2021 Revised 11/16/2016 R SUB C RACTOR SIGNAT Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of f7Le— The foregoing instrument was signed before me this 1� day of 2a by Jyl(t who is personally knownor has produced a as identification. va STAMP Signature of Notary Public Print Name of Notary Public i WILLIAMJ1 D,9, tov��t JR ,pr-_._ e' '? MY COMMISSIQN0-ggGii9S576 ±'� c,s•,,•• EXPIRES 2621