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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # — ISSUE DATE al..,zs. -�;�3 ri. �v r�z';J%1,n s:,r"i'C;; ;,.T'i �•:�24.`�:fi :.�:1'fE'� .�.. 7: FLAG is DEVELOPM EENT 'SERVICES Building &' Code Compliance Division RUI-DING,PERMIT SUIR-CONTRACTOR AGREEMENT 5 61J e— / ifc. , c - have agreed to be (Co parry Name/Individual Name) the Sub -contractor for t4J L4 ,7 n A g,e— e,-. jcc.,21 (Type of Trade) rim(P�ary'. Contractor) For the project located at (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. CONTRACTOR SIGNATURE (Qualifier) PRINT NAME `•� ��� �� ag`zR,� COUNTY CERTIFICATIONNUIVIBER State of Florida, County of The foregoing iustrumentwassigned before pwethis�day f ` Q , 20n, by �"1 �' C 2 " �1- � who is personalty known -y—or has produced a as identification. r 16 kG� . -�� STAMP ' Signature of Notary Public Print Name ofNotary Public ' 8 4f Fbtida err ru Notap, Public.r�$), Kerri Budka F.9Ta543 My COromtsil 1 F 020. Revised I I/162016 qo'F Expires o512�- O RACTOR SIGNAT (Qualifier) .G C. t-✓ft` -f "7 & ,e t,/ 5 PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Coanty of_ Liwt The foregoing instrument was signed before me tbis�"' ddy of L � ; 20� by IAWIi'Q. cp who is personally known jLor has produced a as identification. STAMP 4Sat"'re ofNotary' Public Print Name of Notary Public— uLA WAR. CMEDGE Commissim * GO 022076 E�nQadilwTroyFaintrtaur�ncet0a3B8•T018 . DOV9, OPMEN't,9kiM cp's PIANN' t g CoAifprt ..L-o.ntrol df'St. 'Lucie 'County, Ilia.. have agreed- to'be the H.VAQ Sub-absiftetbr-for Wvmne, De've-lomment 'Corv* cryo Of Tmde) conuamr) For the project Ideated at it is urid&966dlhit, if there is any. chenjo-d =*11's, relg ding o& 0awcipation'with the Above Moldoned.. -project, the Building and: Code Regalatiola Divisibn of St. Lucie County will be advised Puismut to the filing dfid Chang.0 of Sub-coftmotornotice. CONT"CTOR SIGNATURE (Qualifier). Not. t. - whaw L J'1.e Wynne PRINTNAME COUNTY'CERTMCATION NUMBER state ormrich/ Cbouw6f 57kmc 'r The forigoiag ldsvadeitwas daned bddrime tha—day of I who is Parson011y known ba-pr6daved a As STAW- A4 DOROtHYANN :IBA'SKIN N#G30] `47.1. mycommgSION#GG-030145 E-8: Onctiolber 29,290 EXPIRES 2 L66-J U000/Z000d XO-i 999L8L8zLL COUM M-TWCATION NUDGER State of Florida: colltof 9rk;LC.,F The f6rizalaz indrument was Signed before me &i;5— any of Z STAW SwAture OrNo" TIVe 104.--ruy AVPJ 4,4sk-l"O Frint'Nalbe of Notary Pubut DOROTHYANN BASKIN Go 0 01 mYCOmmI.$SION# *� 03 i4s. G OPIRES: OcIbber 2020 26 ru: UWL Bonded 7h 'Opt - ��blk 4.1y d.400 Suipl!nq euuAM —WOUJ 9 V-3L PERMIT # ISSUE DATE "L " C NT F L 4 R I D A PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 'BUILDING PERMIT . SUB -CONTRACTOR AGREEMENT b ompany Name/Individual Name) the LL 1M h Y1Gt �ub-oontracto I (Type of Trade) For the J ro•ect located at \��V►-2_ p have agreed to be for Ulj Y12,. ��eyQ- o m e (PrimAry Contractor) (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. CONTRACTOR SIGNATURE (Qualifier) M:bW L NAME T o 1919c *9 COUNTY CERTIFICATION NUMBER State of Florida, County of 5T. Lu el E Theforegoinginstrument was signed before me this' day of 20n b t `Q A:ti. �\•e- who is personally known or has produced a as identification. Signature of Not Public Jo/2y—,141 -] 6 IV^) 6Aslef^) Print Name of Notary Public DOROTHYANN BASKIN MY COMMISSION # GG 030145 i� :6`•` EXPIRES- -October 2.2020 41r .P.• n__�.�ts.... ►Inlnw. DWie.ilnAewrifors Rev SUB-C CTOR SIG ATURE (Qualifier) fA ler4 L d ( Lt n� PRINT NAME s-La*9 COUNTY CERTIFICATION NUMBER State of.Florida, County of S� • Lli di t-, The foregoing instrument was A ed before mll1.1 e this % day of ,b iT 20`�,by © who is personally known _or bag produced a as identification. STAMP Affig.atur.of Notary Pubfi riot Nami of Notary Public STAMP -•N p q g q FFERTY Rtl-C�®P�� Yrb`5 ="• `" MY COMMISSION # EE854297 r� �; ... A EXPIRESJanuary08, L017 OF'Fb�� � . •i�• b„N (407) 31?8.0153 FloddallotarySeryica.com a -guild ' ID e og .0 ."p V 0�oveln If i wvb Vnn "94'i h 1' LWie­C#WA-y be-advi f*8043�hrqe"o - ........... . " �wwpmdllcea P DOROTHVANN BASKIN MY CO MMISSION # GG 030145 EXPIRES: October 2,2020 '�uWUndemftm fsovv Bonded lhrukptary. S A" ' Wf6reft. - .2 y wh'i pooft*44i�-1 m"RsVo f4dd&d-*-'- eat! ICA6% -is k ".6 • DOROTHYANN BASKIN My COMMISSION# GG 030145 EXPIRES: October 2,2020 'tm I Bonded Thru Notary PubliamUnd.em