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SUB-CONTRACTOR AGREEMENT
T I -- �� SCANNED BY t P� cie County PERMIT# I I I ISSUE DATE PLANNING & EVELOPM[ENT SERVICES - - Building &Code Compliance Division - - - Bi H DING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/Individual Name) the _ ( -& c i rlz (Type of Trade) For the project located at have agreed to be for y iz 4. 3 fkt� (Primary ntractor) (Project Street Address of Property Tax ID #) It is understood that, if there is any change of project, the Building and Code Regulation filing of a Change of Sub -contractor notice. kONTRKCTOR SIGNATURE (Qualifier) !� PRINT NAME '?'P►(aLl COUNTY CERTIFICATION NUMBER State of Florida, County ofJ44e�u The foregoing instrument was signed before me this ay of 2019l� by 4igr' A4 who is personally known I _�or has produced a regarding our participation with the above mentioned of St. Lucie County will be advised pursuant to the as identification. f� STAMP �iknatdre of Notary Public I tint Name ofNiitfiryrublic I KATHLEEN M VALENTINO'i �': •'e MY COMMISSION 8 FF244412� • EXPIRES Jtme 25.2019 Revised 11116/2016 I I i I SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAIV E COUNTY CERTIFICATION NUMBER State of Florida, County ofr¢`�j�t (j The foregoing instrument was signed before me this 2- day of QJ, ; 20 , by ,a M at'c1,6 who is personally known I/ or has produced a as identification. STAMP Sigria%re oTNotary Public lPo�t 'W Print Name of NotaryTublic KATHLEEN M VALENTINO �': •'5 MY COMMISSION 4 FF244412 •, �•• EXPIRES June 25, 2019 p07 �pti0i47 Floc Seiriw.=n f� I I PERMIT # � s -N Y . � 5 q((Type mpany Name kdLualName)the of Trade For the project located at ISSUE DATE i DEVELOPMENT SERVICES & Code Compliance Division BUILDING PERMIT )NTRACTOR AGREEMENT Address It is understood that, if there is any change of status project, the Building and Code Regulation Division Ming of a Change of Sub -contractor notice. 4C0CT&0RS1GNAA::�1TQ:U:.R1EW (Qualifier) PRINT AM)E f������ 1() kq CnrTN•ry CER, i n c i ia-9W —WER State of ofFiorida, Co:11tyef������ The foregoing instrument was signed before in,, d'� this �� % day of " ' 20 by who is PersonaIIy known has produced a as Identification. Signature of Notary C S ,11 Print- 1 " V— �j Notary be Vy 1 AUDREYB. HUMPHREY +: MY COMMISSION 4 FF 174772 Revised I1/iGl20i6 "''�= EXPIRES: March 6, 2019 ;;.. '•,02.°,`` Bonded Thru Notary Public Underwriters have agreed to be t for �to C.- - �y yon Tax ID ##) ling our participation with the above mentioned Lucie County will be advised pursuant to the ` PRINT NAi�iE �I CF(- �yZ 75�J I COUNTY CERTIFICATION NU —ME State of Florida, County of he foregoing instrument w-as-siacdheJforemethWLJ--- day of 20 1 Eby •f�' 6" efo rzowho is e -rson'�' P ally known or has produced a I �su identification. 9 _ ANEVILLE ;, • SS[[ffQ =aate� /D��.��(P}I�RM:Octo��b'���eprr�12,2022 STAMP PERMIT# I ` I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building &ICode Compliance Division AC Buddy, Inc. kuompany Name/Individual Name) the HVAC (Type of Trade) For the project located at 3705 Tanager Ave., Ft. krrojecr street Address or It is understood that, if there is any change of status PERMIT R AGREEMENT have agreed to be for Harry Blue Builders, Inc. (Primary Contractor) 34945 Tax ID #) 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. 04 ACTOR SIGNATURE (Qualifier) PRI!\ INAME -f COUNTY CERTIFICATION NU{IBER State of Florida, County of The foregoing instrument was signed before me thisC:2nday of • 20Agby e12LJ e,• who is personally known/ or has produced a as identification. �S A Signature of Notary Pu 1' 4 Uti � • � 1 Prmt Name of Notary lj rblic r��v,�°Y� AUDREYB.HUMPHREY Revised 11/16/2016 '' MY COMMISSION # FF 174772 =<a 5:4, EXPIRES: March 6, 2019 Bonded Thru Notary Publ'w Underwr ters ew 1462e- SUB-CONTRACTOR SIGNATURE (Qualifier) Wanda Gahn 13 State of Florida, County of 24. Ltit.C.l @. Th `e foregoing instrument was signed before me this 3rd day of II©C+• ,zo $ byWanda Cahn who is personally know or has produced a as We ' cation. V a STAMP nature of Notary Public Kristina R. Parsons PrintNal eofNotaryPublic r Kristina R. Parsons 1' S NOTARY,PUBLIC A. o STATE OF FLORIDA = Comm* GG090836 s�NCE 19�� Expires 4/2312021 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division PERMIT R AGREEMENT For the project located at have agreed to be 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. COUNTY CERTIFICA N NUMBER State of Florida, County of The foregoing instrument was signed before me this :P--V— day of who is personally known or has produced a as identification. a14-11,111 9. AMP Signature of Notar3 P blic Print Name of Nota f Public 4 1,pY p r eq AUDREYB.HUMPHREY MY COMMISSION N FF 174772 :,Pa EXPIRES; March 6, 2019 Revised 11/16/2016 R ,f °`' Bonded Thru Notary Public Undervrtiters wc+ � r I5913-OONT►YACTOR SIGNATURE (Qualifier) 4� NAZI I COUNTY CERTEFICKTION NUM ER State of Florida, County (if The foregoing instrument was signed before me this t/ day of who is personally know/or has produced a as identification. AUREY a NUPHREY IRSMrch6, MEXPe 209ESa BondedThruNotaryPubl'cUnderwrters i �1 PLANNING & DEVELOPMENT SERVICES Building & ICode Compliance Division (Company Name/Individi al Name) the A15111— T1I%171 (Type of Trade) For the project located at Street Address It is understood that, if there is any change of PERMIT R AGREEMENT have agreed to be for 4PIP rimary ntractor) Tax ID #) 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 I I COATRACTOR SIGNATURE (Qualifier) I -C TRACTOR SIGNATURE (Qualifier) 101/ a COUNTY CERTIFICATION NUMBER " State of Florida, County of rr�� ��,, Th11e foregoing instrument was signed before me this�V day of U V 11 , 20g by �i �- 9 f.L who is personally known has produced a as identifficatio,,n,.. 1,,J, iw"0- 10,STAMP "Signature of 1 pry Public V Print Name of Nofary Public AUDREY B. HUMPHREY *5 MY COMMISSION # FF 174772 EXPIRES: March 6, 2019 Revised 11/16/2016 Bonded Thru Notary Public Underwriters COUNTY CERTIFICATION ER " State of Florida, County of Glti The foregoing instrument was signed before me this ®pday of Yhi (% • , 20)1 by 4M Pak Y 21 t/t , . who is personally known �or has produced a as id tification. • STAMP Signature of NottO Public Print Name of Notarf Public AUDRFY S. H! WHREY MY C01�iJI i51Jtd # FF 174772 EXP'^c`.i: h 6, 2019 .�''•, 4FoP'• Bondodff.; Public Underwriters