HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # — ISSUE DATE
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PLANNING & DEVELOPNmNT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L4 (fc• ?r' c --.n e- have agreed to be
(CORRHy Name/Individual Name)
the E l c—), r , z / Sub -contractor for tAJ 4 e7 s 1%e�, e—
f
(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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATION.NUIVIJBER
State of Florida, County of l,y�'-�Q�
The foregoing
`instrument was signedbbef�orAe�me this+ d of , ...,.,
20A by
who is personally known -Kor has produced a
as identification.
STAMP
Signature of Notary Public
Print Name ofNatery Public
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4RAORSIGNATUREM.Affi.,A)
PRINT NAME
COUNTY CERTIFICATION NUA DER
State of Florida, County af- i • a L%-e—
The foregoing instrument was signed before me this a day of
J 20�2 by w'4t2 ku
who is personally known-V--or has produced a
as identification.
STAMP
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Print Name of Notary' ,Public
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DOROTHY ANN BASKINEXPIRES; 45J MCMDA LWFIKW
MY COMMISSION # GG 030145
October
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Bondqd-Thru NotarY public Underwtite'8
PERMIT* ISSUE DATE
1"�► DrjgVEL;OPMENT�trES
�u�rldittt� � �'+rrd� i�omplr�uee D><vYsfon
Sft NTRAC`.i R AGREiErAENT
Cgmf.orl Co.ntrgl df St. 'Lucie -County., lim. have apeed'to:be
(Company minellndivi" Nme)
tho HVAC Sub-c'o it i0tarfor Wynne bOve:la< went �Cor
(Typo of Trade) O& i&7 Coxitr Mr)
For the project located at
It is understodd; :that, if there its any change of status: pe ding our pat Cipation' with the ab4vc xilentionecl .
-project; the Du l ft and Code Reg ulatida Divisibn of St. Lucie County will be advised pursue ut to the
filing of a Change of Sub-coiitrctor notice.
CON'><'IEti►CTOR WNATURE (90 ifier).
I:a thew L l.e WZhne
PRIINIT NAME
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COUNTY NC)>vlRlr
Sta, ofniedo, Coaaty of S i., kmc 1 e-
The forgoing instradaicntwas s;Ened before me tbis�tlsy of }`•
2o0, by1.
who is personally. known WOr hupmdawd a -
se filentsteatsan.
STAW
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a9ideritification. ..
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PrintlVameofNotaryPublic
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My COMMISSION # GG 030145
EXPIRES: Oct0ber 2,2020
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