HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi
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PERMIT #
PLANNING & D
Building &
I ISSUE DATE I
,OPMENT.SERVICES
Compliance Division
PERMIT
OR AGREEMENT
(16 y✓.C/L[.{T F I /00 O /S
(Company Name/Individual Name)
the PLUMBING f uI
(Type of Trade)
a
For the project located at ? �141
have agreed to be
ltractor for —A & G CONCRETE POOLS INC.
(Primary Contractor)
(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..
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CO CTOR SIGNATURE.(Qualifier) I _ SU SIGNATURE Qualifier)
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JAMES T. LEONARD I JAMES T. LEONARD
PRINT.NAME PRINT NAME
i
25959
COUNTY CERTIFICATION NUMBER
I
State of Florida, County of ST.LUCIE
I
The foregoing instrument was signed before me this day of
20 ` �Ly JAMES T. LEONARD -
who is personally known or has produced a '
as i nt a on
STAMP'
Signature:of Notary Public
FARA D. HERNANDEZ
Print Name of Notary Public
FARA D. HERNANDEZ i
MY COMMISSION #FF172419
Q
R vt d �PlO1,XPIRES October 28, 2018:
(407) 398-0153 FIoridallotarySemce.com r
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25959
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE .
The foregoing instrument was signed before me this day of
28 by JAMES T. LEONARD
who is qqsonally known _e_,.r has produced a
/ as id tificatiorri
WWI
FARA D..HERNANDEZ
tme of Notary Public
FARA.D HERNANDEZ
MY COMMISSION #FF172419
.oe
�FF,�;.° EXPIRES October 28, 2018
39"153 Floridallotarygervicexom-.
PLANNING & DEVELOPMENT .SERVICES
Building &. Code -Compliance Division
. BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/`�'✓
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! C
have agreed.to.be
(Company Name/Individual Name)
the f1'�/'�.�C'
ISub.-contractor
for A
(Type of Trade)
I
(Primary-Contraetor)
For:the project located at f .Z 7 7 uko . �.
" (Project S et 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 Countywill be advised -pursuant to the
filing of a -Change of gub-contractor notice.
CONTRA uatiger).
SUB-CONTRACTO iGNATURE (Qualifier)
A <190K,
PRINT NAME
PRINT NAME
COUNTY CERTIFICATION NUMBER
Florida;
COUNTY CERTIFICATION NUMBER
State of County of 9!%
State of Florida, County of
The foregoing instrument was signed before "me this' day of
The foregoing instrumen//tt signed before me this day of
20Ab
�was
�LLL+.bY
who is rsonany known `� or has produced a
who is personally Imow or has produced. a
as i enti c n.
as idea tioa
G�
tore of Notary Public (TAMP
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C ygllil W�
aiure
Si of N Public
%� �SEG. V1R�ii�
��
Y
Dorise �.rgili+o `�` . o°►;,� . 4
Print Name of Notary Public I'
Print Name of Notary Public .�q10
FARA D HERN .. EZ�
•
.,!�.�.°Q MY COMMISSION #.FF172419
EXPlloritlaNOotaryServi
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