HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTl � .
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PERMIT# ISSUE DATE
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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Name)
BUILDING PERMIT SCAN
NED
SUB -CONTRACTOR AGREEMENT
I ul�
i
I
have agreed to be
Sub -contractor for ROBERT PUCKETT OF J & H HOMES INC
` (Primary Contractor)
For the project located at 5230 COMPASS COVE PL HUTCHINSON ISLAND FL 34949
(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.
ROBERT PUCKETT
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of MARION
The foregoing instrument was signed before me this ' day of
MARCH 20___, by ROBERT PUCKETT
who is personally known _or has produced a
as identification.
S' ature of Not y Public
JUSTIN WINSLOW
Revised 11/16/2016
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SUB -CONTRACTOR SIGNATURE (Qualifier)
RM Pin)
I'MINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of /
Theforegoinginstrument yw�as signed before me this ( day of
1 t' cG' 20 by
who is personally known _or has produced a 5L / Z—
as identi do .
STAMP STAMP
SiAnatide of Notary Public
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
(Ccknpany Name/Individual Name)
the r
9� � , (A Sal Sub -contract Ir for
(Type of Trade)
For the project located at 5230 COMPASS COVE PL H
have agreed to be
ROBERT PUCKETT OF J & H HOMES INC
(Primary Contractor)
INSON ISLAND FL 34949
(Project Street Address or Property Tax ID #)
i
j
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 CTO SIGNATURE (Qualifier)
ROBERT PUCKETT
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of MARION
The foregoing instrument was signed before me this day of
MARCH 20_, by ROBERT PUCKETT
who is personally known _or has produced a
as identificatio
/ STAMP
Signat ' e of Notary Publi
;TIN WINSLOW
...........
Name of Notary Public
Revised 11/16/2016
VAitYf,�,�'.
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VZXWZ STAM \0\``
fLor
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County oflm(a 6 So-Vl-
The foregoing instrument was signed before me this day of
fA O , 201a by _
fho is personally known _or produced a�
as identiion.
of Notary Public
Name of Notary Public
STAMP
W.
�G VARY �
y :• y M 172665
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