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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT .SERVICES Building & 'Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT �e-%4 R Q r©,67,o ,0have agreed to be (CompanyName/Individual Name) the e-) J# Sub -contractor for (Type of Trade) , l i (Primary Contractor) For the project located at � `� � C-1 �� Pb t + S + F p (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 SA -contractor notice. CONTRACTOR SIGNA uatitiery PRINT NAME QQ" doouu COUNTY CERTIFICATION NUMBER State of Florida, County of • �.uc, *1 The t'oregoing instrument was signed before me this 5 day of :io,.v., ,20]�,by4'a►�J�r� iT��nklold� who is personally known or has produced a rri- L as identification. STAMP Signature of Notary P 'c Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 20_, by who is personally known or has produced a as Identification. STAMP Signature of Notary Public Print Name of Notary Public PERMIT # ISSUE DATE , PLANNING & DEVELOPMENT .SERVICES Building & Code Compliance Division Name) the BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub -contractor for have agreed to be (Type of Trade) (rrimary %-unwuuwr) . /i i 0 � For the project located at -7� - 7 11(.� I t o W t ��• �� (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 -contractor notice. Vtdlu ! 171 CONTRACTOR SIGNA ualifier) I i PRINT NAME MCA" COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of O,,r •20Aby%&vl444 � {aQnlw1O1e� who is personally known or has produced a rr as identification. STAMP Signature of Notary PdTqc .e.o; �. •ne. G � J'e:y. s Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE.(Qualifier) _ PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of .,20_, by who is personally known or has produced a as identification. Signature of Notary Public Print Name of Notary Public STAMP PERMIT # ISSUE DATE PLANNING &.DEVELO.PMENT.SERVICES Building & 'Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be ompany Name/Individual Name) the v>, evL L` Sub -contractor for (Type of Trade) (Primary Contractor) � /� j I For the project located at ? q �� 11 L I (.014, q t t (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 CONTRACTOR �LIW A notice. COUNTY CERTIFICATION NUMBER State of Florida, County of� • �VG �k The foregoing instrument was signed before me this 5 day of SQ.r ,20]�,by�'a►vl4t+l� (ti'Cd�.ntiJ61d� who is personally known _or has produced a V fl L as identification. STAMP Signature of Notary Pjtyc b.Q.a„n •ne. G ,, J R, ri - Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 20_, by who is personally known or has produced a as identification. Signature of Notary Public Print Name of Notary Public STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT.SERVICES Building & Code Compliance -Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT !6 c-0 4 R . Q (1 ro C-7,0 0 6 L 4 have agreed to be (Company ame/Iridividual Name) theSub-contractor for (Type of Trade) ,1 (Primary Contractor)) tlocatedat ,7�C-lc•�1�.�" t �251 For the project F (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 Sffi-contractor notice. CONTRACTOR SIGNA ualifier) L PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of-4f-**rV • 1.�iC, �� The foregoing instrument was signed before me this 5 dayof .� O, v� , 20]�, by 4' a► u�4 r+ii G �y.n wl O 1.d �" who is personally known or has produced a 7:1, L as identification. STAMP Signature of Notary PdWc 11.Q.aV% -r.4 G %-J-%ris Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of . 20_, by who is personally known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public