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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I �(. o riq ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RECEIVED m A BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SEP 15 2017 PERMITTING St. Lucie County, FL have agreed to be (Company Name/Individual Name) the SWllu 16A1f4 U &Le Sub -contractor for Piet �,f' � VMS (Type of Trade) (Primary Contractor) For the project located at —1100 S�b�S�'a.^ Fork Qi�rce, rL ��1q5 (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 C nge of Sub -contractor notice. CON�TR�A�C�TOR SIGNATURE (Qualifier) t'v� ► S�( PRINT NAME CPC I COUNTY CERTIFICATION NUMBER ,1 State of Florida, County ofJ .'v 30 H The foregoing instrument was signed before me this day of 20by '; ���� "5� ,rain oogiie who is personally known or haao eaten Commission # GG133132 as id fication. TTT ' s Expires: August 9, 2021 '��o � Bonded thru Aaron Notary STAMP Signature of Notary Publi tot aRcl r� Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 1,/ �OWCAt The foregoing .J T \\in--strument was signed before , me this � day of � 20 [ A L by ��y `� CVY .... Adriana Duque who is personally known _Xor has p_ c GG133132 as id titication.s.Expires: August 9, 2021 Bonded thru Aaron Notary Signature of Notary Public Print Name of Notary Public STAMP RECEP�"[ ._��G 0 3 209 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT T13 M 0 eG-�r' Cc, 1 have agreed to be (Company Name/Individual Name) I the ele6Vr. c; ca 1 Sub -contractor for r eM i e r }Rdol S q n� Spg> (Type of Trade) (Primary Contractor) For the project located at '11y o I (Project Street Address or Property Tax ID #) IIt is understood that, if there is any change of status regarding our participation with the above mentioned ect, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the of Sub -contractor notice. SIGNATURE (Qualifier) i PRINT NAME COUNTY CERTIFICATI NUMBER `l � State of Florida, County of The foregoing instrument was signed before me t1 _ day of 20q , by c I who is personally known _or has produced a as i entifi ation. STAMP Signa a of otary Public Print Name of Notary Public 011116'0 Dwane L. SteedNOTARYPUBLIC STATE OF FLORIDA COMM# 00010408 Revised EKplr@8 T/i v go PRI&T NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofl_�A The foregoing instrument was signed before me tl&�� of 201�1, by who is personally lmownV or has produced a aside ' ica ' n� STAMP Signature f Notary Public Print Name of Notary Public Dwane L. Steed NOTARY PUBLIC STATE OF FLORIDA oatnrtl# 61QA7�IA P.,x�trt�Ifi 7'/91/�A�A