HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTt�
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PERMIT # f Q %�ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Gk)_FP_6C_r1A)6
(Company Name/Individual Name)
the I CA- I Sub -contractor for
(Type of Trade) :
For the project located at
6+1
'AJC have agreed to be
Aelaltl
(Primary Contractor)
or Property Tax ED #)
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
COUNTY CERTIF CATION NUMBER �/
State of Florida, County of _:a % L,
The foregoing instrument was signed before me this Zn nday of
zd? by �1,&d e . {�
who is personally known - or has produced a
as identification.
0 STAMP
Signature f Notary Public
..Josandra A Ingraham
NOTA yPUBLIC
Print Na i &Ti9
Gomm#: G6032559,
Expires 3/9/200*
Revised 11/16/2016
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SUU CONTRA R SIGNATURE'(Qualifler) =
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PRINT NAME
,6C OW 30 7
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,e_
The foregoing instrument was signed before me thiOt� day of
20' , by p
who is personally known or has produced a
as identification,..
6;4"A , STAMP
Si ature of Notary Public
Print Name of NotaVOSandrd A Ingmilyy
NOT.ARX,pUa6 , N
L+SfATE OP FLORIDA "
�+n#_G1303255�
s Expires 3/9/202 I'
PERMIT# if 761 V 5 (0 g ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB CONTRACTOR AGREEMENT
POPLIZ A PIML-5 �lqc- have agreed to be
OIL-IM-611oc-1 Company Name/Individual Name)
the Sub -contractor for P 041 ZvrJ AP 15 JAC'
(Type of Trade) (Primary 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.
A1,G1,04 644
CONTMACTOR SIGNATURE (Qualifier)
m Cty—Ke
PRINT NAME
/ (70e,
COUNTY CERTWTCATION
yN� UMBER
State of Florida, County of O T� G
The foregoing instrument was signed before me thi.� q day of
AWZ 20?by YVad' l ai- e,
who is pe ovally imo or bas produced a
as id tiiication
Gl/L x, A AkP
5i lure of Notary Public
Josandra A InW*_ s
PrintNC
S. A'�EQiF.FLORIA
W
CCOrW 0GO3250
Expires 302020
Revised 11/16r2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
6Pe1053L
COUNTY CER CATION /EA(1�
R
State of Florida, County of 1 ' `t" "`�
The foregoing instrument was signed before me that y of
z11 % by
who is pers y Imo _or has produced a
as identification.
6;,"
SioUture of Notary Public
ra A IrCgmha!r}
Print Name of Nota ` NQTAR I U" IG
SPATE OK FLCiRI[7A
Dl�iam#C3C�32559 .
Expires 3I9tF0�A`