HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTt
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ko L k1k
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(Company Name/Individual Name)
the Q \ S VV, „nq Sub -contractor for
For the prof 6ct located at
(Primary Contractor)
(Project Street Address or Property Tax ID #)
SCANNED
BY
St. Lucie County
have agreed to be
It is understgod 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-comtractor notice.
C RACTOI SIGNATURE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida,,, unty of6� .X^%�
The foregoing iniitrument was signed before me this,\ day of
.20 \� 1
by Lex 3
who is personally, known _or has produced a
as identification], <v p
GSS AIP c�`��
Signature of Notary Pub
y
Print Name of 10,tary Public
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Revised 11/16/2016
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SUB -CONTRACTOR SIGNATURE (Q ali)r
Lp cat. s 1 I:t_ Q L4, IA —
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 151 . 1.JC�--�
The foregoing instrument was signed before me this `A, day of
20J4, by
who is personally known or has produced a L 17 L
Signature of Notary Itublie
lz-,-^V%q V-\-J
Print Name of Notary Public
STAMP
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E}CPIRLS: pecelnbe 'rem itz�v
Bonded l'hn� 1'lo1aN puk'- � .
the
PERMIT# ISSUE DATE
(Corr
1, \
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
c
S � R(om A
my Name/Individual Name)
if Trade)
For the project located at
Sub -contractor for
(Primary Contractor)
f 3 A/4 r 0 lr" fir" (f ee I/c,
(Project Street Address or Property Tax ID #)
have agreed to be
i L..e
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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�ll
PRINT NAME
I
COUNTY CERI IFICATIONN NUMBER
State of Florida,) ICounty of �'T -Lo C%AL
The foregoing instrument was signed before me this�a day of
JJ� y 11 , 20N� by
who is personall1y known _or has produced a \ t Q 1_
II
'd ntification�
of
Print Name of Notary Public
11
I
Revised I1/16416
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i&CONTRATOR SIGPNATURE (Q icier)
Ld � \ Ci ( �1—� �i U
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of � •'"'L \
The foregoing instrument was signed before me this `� day of
S J \� , zoo, by
who is personally known or has produced a lb A--
\d\c,vetet bt\G J^ fermi
as identification. tip" DNS
Signature of Notary Pubh 1%V 1 C rg
t
Print Name of Notary