HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT�� PERMIT #
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( mpany-Nam
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(Type of Trade)
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,ANNING & I
Building &
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BY
StLuelprVinf,
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ISSUE DATE
Compliance Divis��EC ETVE
BU DING PE"11T
,UB-CON ACTOR AGREEMENT MAR 2 7 2018
Permitting Department
/ r St. Lucie County, FL
CLAW v l C 4 have agreed to. be
Sub -contractor for G a ,
(Primary Contractor)
For the project located at gz0 / aSo
(Froaect-Strect Address-orProperty 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 IJivision of St. Lucie County will be advised pursuant to the
filing of ap i)dnge of'Sub-contractor
CF(f
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBERp r
State of Florida, County of �" Lu e— �/ State of Florida, County of.T%d�19-/i% fulleG�
The foregoing instrument was signed before me t{hia J day of The foregoing instrument -was signed before me this � ' day, of
..2t1 7 by D� _L57� /'I 6.Z— M 4�.C��► 20_d b3 W IIIIA9 A( �Q
who is personally known or has produced a who is personully knosw'or has produced a
.)ADS oD
as identification. I . as identification.
_U
�AN111A"iAA_
7
Signature of Notary Public O a� P Signature of NotaryPublic STAMP��.-xii
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Print Name of Notary Public oC R c: Print Name of Notary Public
o m
Q6EL)
w(DE>
=:°UZ
VERONICAMALLEY
\�s�r�, ; r, Notary Public -
State of Florida
6 i
Revised 11/1612016 ; �m \G _ ' •; Commission s GG 140320
My Comm. Expires Aug 31, 2021
Bondedthrcugh National NotaryAssn.
BUILDING PERMIT
DECEIVE®
SUB -CONTRACTOR AGREEMENT I _It
S&W Electric Inc
(Company Name/Individual Name)
the Electrical
(Type of Trade)
For the project located at 8101 Paso Robles
MAR 2 7 2018
Permitting Department
for Dave Goff
(Primary Contractor)
(Project Street Address o� Property Tax ID #)
It is understood that, if there is any change of
project, the Building and Code Regulation I
filing of a Cge of Sub -contractor notice.
regarding our participation with the above mentioned
Woo of St. Lucie County will be advised pursuant to the
UB-CONTRACTOR SIGNATURE (Qualifier)
�oc.D� Lawrence Stubbs
PRIM PRINT NAME
29442
COi TIVICATION ER COUNTY CERTIFICATION ER
State of Florida, County of L z_J State of Florida, County ofyV�e-
The foregoing instrument was signed before me thiso� % day of The flopgoing instrument was sign before me thisd y of
, 201.y by ra 20 , by
who is personally (mown or has produced a TI wh 's personally (mown Zor has produced
as identification. as id ntificatio
ST STAMP
Signature of Notary Public Si a of Pub
Print Name of Notary Public CC aE m Print Name of Notary Public
M
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N �tu
m e� o USA L WHITE
•'c MY COMMISSION # FFiM?4
J . c _ 11. 2019
� o` � E m` ExPiRES Fsdfuary
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Revised 11/16/2016 1—� `—" OJO go7j3se-0153 tORi
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