HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
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C31�iYIRIF C ` w
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the
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
MANNED
BY
St Lucie CoUhni '
1' l ,V!D f /� hl"-e ,!" have agreed to be
d Name)
Sub -contractor for -r—Aw- 4Q_00. -'r
(Primary Contractor)
3 1 Z_- F_ f - it
(Project Street Address or Properfy 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)
ly'l QY OU1101 y
COUNTY CERTIFICATION NUMBER
State of Florida, County ofg+.wcAe
The foregoing instrument was si i
ed before me this wd�ayoff
2kK by �d ek°'
who is personally known as produced a
as identification.
Si oaf ke of Notary Pi
b
Print Name o� f Ir
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S� ` C) e
The foregoing instrument was signed before me this of `
GlX1 2o�nII.�IC �--
by � "N VY
who is personally known has produced a
as identificatioib. �I �I
!11� STAMP V W l J STAMP
ic' _ Si ato a of Notary Public
Pri�.
+ �none
yar r� Notary Public. State of Florida
Notary Public State of FloriQa' a Julie Baird
Ju{I'e:�aifd " e ,, My Commission FF 163285
My Commission FF 1E 3255 ' nII�12512019
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PERMIT# ISSUE DATE
�1w,`
COUNTY
F L 0 R. I D A
IL
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
P c �-rz have agreed to be
(Co any Name/Individual Name) `` x
the t 70--� _Sub -contractor for �drawl,f� �rkCv
(Type of Trade) (Primary Contractor)
For the project located at L/ S 3 L- - e- H
(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.
4NT C�rOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of,,I-_W`�-'��
The foregoing instrument was si ned before me this da ofy, ,
1 � 20'1%e,1 by" L • (�'l I�V Y
who is personally known Lzor has produced a
as identification. n
STAMP
Signatu Lary raonc
of
1 J � 11-0 &kl �fj
+ N0 1 PU Stale of Fbride
�F Julie Baird
�missionQ1e 183265
P,,��91z4R
Revised 11/16/2016
S -CONTRACTOR SIGNATURE (Qualifier)
/`t/1 e- f, � ,, S /.-,, /' X_
PRINT NAME
fVy?__
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'I cQ— ��%% ``
The foregoing instrument was signed before me thbs� day of � • I
La 20� by 1-
who is personally known _or has produced a�L"T�],-^
as identification.
r pu '4'- ,
,p'''_ r° r dupe Baird pF
• MY Com�ZIOrk 163486
,l �o BxQ1(tlL
STAMP