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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMTPERMIT# ISSUE DATE
. . . . . . . . . . . I
PLANNING, & DEVELOPMENTSMWICES
Building & Code Coifipliance Division
BuiLDiNGPERma
� SUB-COPCTOR AGREEMENT
V1-'-
(Co ppany Name/Individual Name)
the e— .1ec, r,-, -z- e. Sub-coritractor for
(Typo of Trade)
For the project located at
(Project Street Address or
(Primary Contractor)
G Q� G
Tax ID #)
have agreed to be
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.
CONTRACTOR SIGNATURE (Qualifier) EVKCOWRACTOR SIGNATtJRE-(QuaNer)
PRINTNAME
COUNTY CERTIFICATIONNUMBER
State of Florida, County
The foregoing iustrumentwai signed before me this d. Of
2�-
by
tub
who is personally knovm Y—or has produced a
as identification.
ALt C4-
STAMP
Signature of Notary Pahlie
Print Name of Notary Public
WI�- WtFA
1040 Notary FKern SOO. i43
My CoMi�tsjj�n Ff. 978
Revised 111162016 E-APIMS 05461202o.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-�' �LUL% 4"
The foregoing instrument was signed before me ADM.
day of
.20a by JaW1Jt*J
who is personally lm6wn_V_or has produced a
as identification.
STAMP
Signature of Notary Public a
Print Name of Notary Public
AMR,ft LAURA.R.CUNEDGE
Wq0MM19s1DnWGGQ22076
Ofter2li 2020
Is' I
PERMIT* ISSUEDATE
LOPW N. r"91-E)OT
b1LA'N1 C-Es
., .
'1000740P N 911-911EW .&Oidd CompY uWbfi
�:COUNT
F L R I D a
D GTE
Comfort of St. 'Lucie -County, Zinc.. haxic ageed- to'be
'(Coma mnywamwindividuaName)
the. H-VAC Sub-c&iftotbrfor wymaie. D.84.010mm.ent 'Cori).
(Type (Prraiaz3► C0302Mr)
For the project Ideated at
It is u'nd6rstb6dfhit, if there is any. chang64ft'id's. regatdini 0& pawdPaflon. with the 6
ove-monfibned..
-project, the Buildifig and Code RegWatim Divisibn of St. Lucie County will be advised puisumt.to
fling of a Chan& -of Sub-contractornotice.
;O--XACTOPE SKGRATEW
LY*l.e Wynne
PR1NT.WANZ
COUNTYCERTInCAT10NNUMER
Stun omorlda,Comity of 9—Ilklepo,
The forigo'lig fdqtr*elit"s dZiled beftiri me It &3±4�ay f
who is . Fem1w] . 1Y.knowD_t�_*rh"Prw9DCda
as 18entificatiom
STAW
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ramtWoute ofr46" ftbilis
DiiROTHYANNBASKIN
MY COMMISSION # GG 030146
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COUNW =TWCATION NUMBER
state of m6rift. County of Si Clir
The foreL'muz mAmmem t was shpod -bef6kb me th Of
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STAND
PrintName of Notmy Public
DORO THYANN BASKIN
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PERMIT # ISSUE DATE
COUNTY
F L 0 R l D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT,
SUB -CONTRACTOR AGREEMENT
�bmpany Name/Individual Name)
the Lxmh
(Type of Trade)
For the project located at \�
(Project Street Address
have agreed to be
for e Y�..n m e try CO. rz f
(PriniAry Contractor)
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.
CONTRACTOR SIGNATURE (Qualifier)
NAME T
o 19$C, -3
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5T . Gt N
The foregoing instrument was signed before me this da of
e
who is personally known or has produced a
as identification.
Q a
Signature of Not& Public
Print Name of Notary Public
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Rev
SUB-C CTOR SIG ATURE (Qualifier)
_gobe r LQ d I Lt M
NAME
S6a'E
COUNTY CERTIFICATION NUMBER
State of Florida, County of - .�C.j e,�
The foregoing instrument was signed before me
a this 7�� ' ddy of
-u-Q , 2k 1, by © Ue c4 Lu A 1 i.0 G�
who is personally known or has produced a
as identification.
STAMP M STAP
2hft'Je'_ature of Notary Publi
riot Name of Notary Public
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MY COMMISSION # GG 030145
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