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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # PLANNING .& DEVELO Building & Code Co BUILDING PI SUB -CONTRACTOR A® 03MV19 ISSUE DATE SERVICES Division "-) ILA !l f W k Ql� , I ( \ ( _ I have agreed to be (Company Name/Individual Name) the rpp Sub -contractor for ' 'n'o i - �IL\�' (Type of Trade 0 (Primary Contractor) For the project located at - I 657 (&:5- 2y--� P eroa. ,� ��{ �D �j� \sa (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding project, the Building and Code Regulation Division of St. filing of a Change of Sub -contractor notice. 0 'CONTRACTOR SIGNATURE (Qualifier) awy�y 4. o �3 C) COUNTY CERTIFICATION NUMBER State of Florida, County of:P 0 � Ii(. The foregoing instrument was signed before me this ILI day of YMr'C,h20) by ro r\ rn r—CO who iC��or has produced a as identification. J_,�/ 1 �� STAMP S'kdature of Notary Public t"CHI_l a 1 C2.c-T-s' Pn t Name of Notary Public a) Notary Public State of Florida Victoria Laws �y c My Commission GG 197151 Revised 11/16/2016 'c►r� Expires 03/15/2022 participation with the above mentioned County will be advised pursuant to the SIGNATURE (Qualifier) PRINT NAME I �6� COUNTY CERTMCATION NUMBER Statellof Florida, County of � �V The foregolin�g instrument was signed before me this 211 day of c 1\ 20 g by _crA r�,r, �C�� t I who i I personally lmown or has produced a asiaennucanon. 11'1"f _ STAMP Si e o otary Public U; 36I-C Print NI me of Notary Public I Notary Public State of Florida Victoria Laws rz e My Commission GG-197151 Orfvd Expires 03/16/2022 i i I PERMIT# I ISSUE DATE PLANNING & DEVELOPMENT SERVICES 1 ' Building & Code Compliance Division I o o BUILDING PERMIT SUB-CONTRACiOR AGREEMENT �_ J.tfk (Company Name/Individual Name) the �'rr (Type of Trade) For the project located at LJ I-6D lyl5 (Project Street Address or It is understood that, if there is any change of status project, the Building and Code Regulation Division of St. filing of a Change of Sub -contractor notice. �GQ Co—AW CONTRACTOR SIGNATURE (Qualifier) 9)ruron I i,/Y,��k 1 PRINT NAME I Z 10C.oC> CO TY CERTIFICATION NUMBER State of Florida, County of _'P61_K The foregoing instrument was signed before me this 1A day of rfrh . 20A by _ R)QY�U� who is personally known or has produced a 9 STAMP Notary Public State of Florida Victoria Laws My Commission GG 197151 oradiQ Expires 03/15/2022 Revised 11116 have agreed to be for S ICl t d r. I lit- (Primary Contractor) ID #) our participation with the above mentioned County will be advised pursuant to the PRINT NAME '-Z bs-oz COUNTY CERTIFICATION NUMBER State of Florida, County of LLC ( f The foregoing instrument was Sig ed before me t�his� ' I day of l �C� . 20-J �JJ� who I is personally known or has produced a R Notary Public State of Florida Victoria Laws My Commission GG 197151 Expires03J1512022 STAMP PERMIT # PLANNING & I Building & A-r 4 s S ev l 4- &(-/, (- (Company Name/Individual Name) the K P_C'G-Q yt cY_ ct, t (Type of Trade) For the project located atyl 1 W ' I c" Proiect Street Address or ISSUE DATE LOPMENT SERVICES Compliance Division PERMIT R AGREEMENT ,/-t `T have agreed to be for ank W_af— (Primary Contractor) Tax ID #) fl 3(.aq(o Lass It is understood that, if there is any change of status re�,arding 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. 2 A 0--t-uv, 1 10- (�Q CONTRACTOR SIGNATURE (Qualifier) c��Y�:r0Y1 YrcC�(� PRINT NAME 0g6 c3 COUNTY CERTIFICATION'yN�UjM13ER State of Florida, County of The foregoing instrument was signed before me this 1 day of 202 by 9ha STAMP E7N01arye of Florida .44WP026%Revised 11/16/2016G 1971512 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofPot/it The foregoing instrument was signed before me this t_l day of r' arr ii .2a l rby ftwtx 5 Gi c4 ri who is personally known or6as produced a as identification. �4" 11n / Vy STAMP Signature of Notary Public Print Name of Notary Public ANNA M. WILLIAMS Notary Public, State of Florida My Comm. expires July 6. 2020 Commission Number GG9022