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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe DEC 2 8 Zola �j (Type of Trade) PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT For the project Iocated at c / kr1uiuc[ arzeeE aadresY,r Property Tax ID 4 3W�-SD` It is understood that, if there is any change of status regarding our partici pro' a ui g and 50de Regulation Division of St. Lucie County of a Change SIGNATURE (Q At �" notice. %Lf.3e/� State of Florida, County of The foregoing instrument was signed before me this aA day of .10 who is personally known _or has produced a as identification. 1Ul_ T GIVEN p�NNA N � GG 02?.023 •P;,,, Y OpM1Al��et �6 2020 Signature ofl\otary Pub �,•' % '•� �(pIREs.00 publiclinde;vm gondedihn't Print Name of Notary PnhHe Revised 11;16.2016 'TUU1Qred to be 101 with the above mentioned be advised pursuant to the t I I 1KsIGNATGRE(Qualifier) Z -SABRII fA L. BLACK 37 Print Name of Notat � Public ///j/, �81........ p;;���� ia lure of Notary blic � �QOF U PRINT NAYIE COU\'TY CERTIF CATION State of Florida, Co CCNUMBER my of V �, � e The foregoing instn 33 went was signed before me this 3 I day of 20 who is personallJa y identification. own �r has produced a ���11111fllllt) f �> �s 5: PERMIT # ISSUE DATE COUNTY- ` F t D -`R 10 A PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division U BUILDING PERMIT SUB -CONTRACTOR AGREEMENT �G have agreed to be (Company Name/Individual Name) the . & via/NG Sub -contractor for Q&!, ,%�U%CD C`2s (Type of 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 State of Florida, County of The foregoing instrument was signed before me tbis WA day of .2t��, by S U5+► n a+► t i.4 {` who Is personally known or has produced a rE 1- n L _ as Identification. .�.. 1 �� � D !sn� NS MYlivnuvu ._. EXPIRES: Uerepubl c UndeWiters Bonded7hru NoMry Revised 11/16/2016 SUll-CONTRACTOR SIGNATURE (Qualifier) AK CAgE PRINT NA A.(6 7V BOUNTY CERTIFICATION NUMBER State of Florida, County of �c-.:. The foregoing Instrument was signed before me this __:L day of 20� by tj 14_JAW qSC who Is personally known "r has produced a Public DAWHfffMMW Np4l1S5 529 mbar 7, 201 EXPIRES:Oeoamher t7, �17. )CpIR °�bFt�R BMW MUM STAMP PERMIT # ISSUE DATE OEC 2 o....................... PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Ic— have agreed to be (Company Name.Individual Name) the �Q C (t C G�- Sub -contractor for (Type'ofFTrade) (Primary Contractor) For the project located at Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned filing of a and Code Regulation Division of St. Lucie County will be advised pursuant to the notice. State of Florida, County of a The foregoing instrument was signed before me thisa Ol day of Z)e-cr-- ,201 by, who is personally known _or has produced a 1. L as identification. Signature of Notary Pubh-C Print Name of Notary Public Revised 11/16/2016 _A StAso 3 , p}" tlr,09145S1oN # G 10.2020 �,Xp1RES: �m Unden�tecs Bopded-1 U�B-eONTRACTOR S1GJ!MURE (Qualifier) PRINT COUNTY CERTIFrCATI N^NUUMB�E�R� � Q State of Florida, County of _AAi G t— The foregoing instrument was signed before me this � day of 20J3by CA t�Gr cam - who is personally known ISLor has produced a RM STAMP U "�"''•a STACEYGARCIA Print Name of tary Public - Y COMMISSION # GG 08584 EXPIRES: May 16, 2021 Hord dihNNotwyPUbrrUWU.Tii P>ARMIS #� ISMS DATE Crype of`I:> For ESE pmjeat located at Owed ti►z�t A 7 SX iD It is umdmtmd ice', if din is any cb=p ofst W S regarding our parac tg es=,of= ofS�. Lude COMAY ofa uodce. r crxiao EMT COWT sta�eos�YS+nWs, Co�aiy oP S-b �.'� a \L Sa�oi rtsesaz�aiogracsrassSaneattt�brcustLis� dfayai xBefbsr Qgi who ispersmuffly knows orioSprodneeda T" L O ss4deatEBpEiom _..fir✓� lt� .Yun...s �G1�lENS PNl`1APdt�R1E C�,022023 ES. _ao�1'Chn� Plotah� Revised I1116%16 Ao I 1 7 a o� w the above mendowA be advised pmmautto the a .qNUBSER ds edbdBrCioet6f5V1 dayoP hF �aT3i$SprOd�A SIAU P ;ps*'"•: TA A LEA MA'TTHEWS MY C MISSION # GG127632 PIKES July 24.2021