HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT/ S?>p 1 'n LL /_ I
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PERMIT# ISSUE DATE
j COUNTY , J
F 4 O R •1 13 A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
l� have agreed to be
(Compan Name/Individual Name)
the 1 V,.. m Sub -contractor for �C�f�In I11 'g
(Type of Trade) U (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.
filing of a Change of Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
S t f M—kin County of
County will be advised pursuant to the
SIGNATURE
COUNTY CERTIFICATION NUMBER
to e o State of Florida, County of
The.f oing instrument was signed before me this AL day of The foregoing instrument was signed before me this 2� day of
V zof� by ftW i Mfl+E_C' U M M i N& an V& zoo by Ult-f n.4 P&L11
IVpersonally known _or has produced a r - who is personally known or has produced a / PE!AD— 16.0, 4
as Identification U as identification.
AMP
Jigure "off Nota P blic '`j
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Print Name of Not2q Public
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XA Bond
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Revised 11/16rz 1
Signattuum of Nary Public
I' (a'90J ��(X L
Print Name of Notary Public
STAMP
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an �i* �1819
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade)
" r-k. 1�4
(Primary Contractor)
For the project located at.3ZZco 1V A
(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 C2�k Region Division of St. Lucie County will be advised pursuant to the
filing of a Change of.,5ib-cgXXtor notice.
CON CTO SI A'rU (Qualifier)
.0 !1n
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before m__e11 this �'+ day of
20j by_C t,as Zp6r CCAi'Y►IVNti31s
ho is personal nown _or has produced a
as identification.
/LI�IJV.i STAMP
Signature of Notary.1`4 b
vl-c� V V of i 0 -5
Print Name of Notary Public
�y�SV.10J�
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Revised 11/16/2016. * � EXP RES:Od*1Iw����oM
6ondd
%;Oi'
COUNTY CERTIFICATION NUMBER
State of Florida, County of g V-��
The foregoing instrument was signed before me thisday of
` !�
20_d y� by l7� 1N 131 1 !! l \
who is personally known =Nor has produced a
as id ific tion.
� � c
STAMP
Signa ure of Notary Public
,toLe � ,mot s
Print Nay c of Notary Public
y;: SOPHIA HARRIS
: e MY COMMISSION # F'9n17093
EXPIRES May 30, 4i,io
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