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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED . BY Lueleuo PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance "Division BLlIL DIN PERrgl T ' iN A?fd3A, aEilIE1. have agreed to be (Company" N�a_m�e/Indtvidu3l \Tame) n the C v �w _ ' . Sub -contractor for n�,(/ a ype of Trade) (Friml t y Co,.trac;gr) _ __ For the project located at 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.. A.4�4�2&;NATURE (Qualifier) PRINT NAME 'COUNTY CERTIFICATION NUMIiEI3 State of Florida, County ofma� The foregoing InstruineRi(jvias sip5e<I before me ttTi' day of 204by ) wh is personally !mown or has produced a �/� /y"'"r STAMP SUB 'ON R CsNATURE (Qualifier) PRINT NAME L C. (266 G 6/2 a. COUNTY CERTIFICATION NUMBER State of Florida, d'_ounty'of OJT • UVCtP n The foregoing instrument was signeti before mee�this dS dayof NA�t) CUB , 2o�y - I O U-2.{1')C1 o:is peryonally !mown �tir has producco a c r / as identification. ii •• r of 111 011. A . U J N �t �l;itn': nf.Notp � Pnbfie L. SHAHNA INGRAM i°;� ;`�•; Notary.Pubiic -State of Florida =• * + •"s lIAgCOnlm. Expires Dec 20, 2018 ,tR"��`•°�•, Np►�pYWARLEDGE s:' COOMlltsion # FF 177299 `.A-D �y{QNGG 160769 Revised 11/16!2016 '' P;,,',1 'Mlf"h National Notary Assn, s,'EXPIRES: November15,2021 �OIIOId 1p'; Baled Thni Notary! Public Undenrtilass STAMP 1 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT. SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT in -e 2, �✓� � � have agreed to be pany Name/I�dividual Name) / `/ the (CoA� z'!7 Sub -contractor for �� I%SWA' / 0 � Mo" V e* (Type of Trade) (Primary ontractor) For the project located at 12- 6—:5' (Project Street Address or Property Tax ID #) r 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. JOSH COUNTY CERTIFICATION NUM13ER State of Florida, County of The foregoing instrument was si ned beforee me�thi9g�o_ day of 20= by rsq who is personally known or has produced a STAMP •�„„,,,,, i_ASI9AHNAINGRAM Notary public -State of Florida :a r Revised 11/16/2016 ; ; • e My Comm. Expires Dec 20, 20113 N, 41 Commission # FF 177249 Bondodiluoupb National Notary Assn. SUB -CO ATURE (Qualifier) �I'1lQ.nd P NAME 0 �rNSl to COUNTY CERTIFICATION NUMBER State of Florida, County o&."WI - e foregotng instrument ed before me thi5�'a0 day of 20�,b�kaj who is personally known or has produced a �1-- STAMP o\f Notary Publics Print Name of Notary LASHAHNA INGRAM $ip� 4f;% Notary Public State of Flor • My Comm. Expires Dec 20,2 k Commission # FF 17724. ;t�`�� Bonded through National Notary r PERMIT # ISSUE DATE the 7t-i V /-I�- (Type ofTrade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT C7 1 ? eA UlQ ,�have agreed to be Sub -contractor for L,,-X.4 J,1110 6o'6.,- M-o o,-;- 1,41b u � (Primary ontractor) (Project Street Address or Propero Tax ID 4) 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. i CONT T NATURE (Qualifier) PRINT NAME 606-)b COUNTY CERTIFICATION NUMBER State of Florida, County of-� Th foregoing instrument ed before is�� day of 2" b3,/ Willi. personally known _or has produced a � fb STAMP S. Revised 11/16/2016 USP0.Y PVB�`ii NotaryA°ub1 Public State Florida My Comm. Expires Dec 20, 2018 Commission # FF 177249 y�''�•i3!', ���, OoodMlMough National Notary Assn. SIGNATURE (Qualifier) -Tiw'rWs &yAe-v- PRINT NAME -0 ?�b � i q COUNTY CERTIFICATION NUMBER 1 State of Florida, County ofs r • ►�—�/�VI e, The foregoing instrument was signed before me tlus&"Ia day of CZJ Ala Gu��, 20J6by �I�eS (SIn Pik who is personally known le!!5r has produced a et \x • �y �`�b gnaturc of Notary Public * •; �lGeiUa 1-0/0rd, •, 00, SABRINA L. BLACK fz: F Print Name of Notary Public Z9� �� J r86j •*