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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr PERMIT# I D 6 6 -.rl ISSUE DATE PLANNING & DEVELOPMENT,SERVICES Building & Code Compliance Division (Company Name/Indiv dual N the ie_ee;et cti (Type of Trade) BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT By St. ;Dacia County Lhave agreed to be Sub -contractor for �,��:r t,.� /11/0 c- (Primary Contractor) For1�he project located at _2-5?'71 (Project Street Address or Property Tax ID #) ,V--( s;;,/ It isl lunderstood that, if thefe is any change of status regarding our participation with the above mentioned ,t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the of a Change of Sub -contractor notice. COD rRA•CTOR SIGNATURE (Qualifier) P NAME %/e //?7 uru rY CERTIFICATION NUMBER StatlIof Florida, County of Sk , �'��e— The regomg instrument was signed before me this —LI day of QPAW R6Pt�Q who' personally known _or has produced a as id ratification. Name Public STAMP op n Notary Public State of Fbtida �; Julle Baird 6 a My Commission FF 163265 °P r,"o Expi�9l25/ZO 18 11/162016 SUB -CONTRACTOR SINATURE)Qualifier) f PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of�� The foregoing instrument was signed before me this �+1 day of 20A by L)J-�� l who is personally (mown or has produced a as de aca'on" nature of Notary Public - STAMP Print Name of Notary Public uss� 6,eloN 1euclleN *0141 Papuog 6t;ZLLI J0 /r uolsslwwoO B 10Z 'OZ oap s011dx3 •wwoo SSW ?. * : A ePliold 10 alvis - oilgnd ARION ,�''�a�A WVHLIm VNwaLiowl A��• # I /* � 0-7 — O / j_ � I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT �G ln^!%--o R is Rhvv5 (fb Name/Individual Name) the II " V (Type of Trade) For t11 project located at a, (Project Street Sub -contractor for i (Primary Contractor) r fiS Oil dress or Property Tax ID #) have agreed to be It is 4derstood that, if there is any change of status regarding our participation with the above mentioned proje#t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the fflingljof a Change of Sub -contractor notice. CONT CTOR SIGNATURE (Qualifier) 'PRINI NAME CO Y CERTIFICATION NUMBER State o Florida, County of o�C ry� The fo egoing instrument was signed before me this C c day of 20 b3r Ql�.l� C /4c/� 33 �_-71 COUNTY CERTIFICATION rJUMBER State of lorida, County of r- for ing instrument was signed before me this ,19 day of 2012., by who islpersonally known _or has produced a T !I - who is personally known _or has produced a as identificat' n. STAMP STAMP Signature of Notary is ".s`p'araIs,, LASHAHNAINGRAJFlorida Notary Public - State of My COMM. Expires Dec 2PCOtltttdfsion # FF 177�'�Bonded lllto Nation11/16/2016v0 al Nota Print Name of Nota yp�B�i KAREN S. NIELSEN �State of Florida -Notary Public °• •= Commission # GG 207484 ;? +, My Commission Expires '�'i�iiii�� June 12, 2022 the For It PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division L Com Name/Individual Name (Type of Trade) project located at 2 ? 21 (Project BUILDING PERMIT SUB -CONTRACTOR AGREEMENT /le RECEIVED JUL-2 5 2018 Permitting Department St. Lucie County r, f ✓ le S _ 4 have agreed to be / j Sub -contractor for i2 � � G' / , � �7`O•'� >v� (Primary Contractor) or Property Tax ID #) that, if there is any change of status regarding our participation with the above mentioned the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) i / o PR11, NAME COUNTY CERTIFICATION NUMBER Stat I of Florida, County of G The i regoing instrument was signed before me this day of 20by who lJs personally known _or has produced a as identification. ntification. �j//f ' . /��iFi�U�(-A "JUTA STAMP J U U "P_ G (u VJ?- Name of Notary Public 5�xY Pu� Notary Public State of Florida Julie Baird c a My Commission FF 163265 �or f�d�' ExpilgA QO126/2018 11/16/2016 S -CONTRACTOR SIGNATURE (Qualifier) `Jty /�,,, /� D►�e�s PRINT NAME EC, - (9 0 0 ' 5 3 COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 20 , by R who is personally known v or has produced a as identification. STAMP Signa of Notary Public aa II DA: o Print Name of Notary Public =oOer Ppe. Notary Public State of Florida Julie Baird y c c My Commission FF 163265 ''�oF� Expifq00/25/2015 the For It is PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT / /_3 (Co y Name/ Individual Name) /_�r77J//n' t? (Type of Trade) project located at v2f 71 (Project Street RECEIVED Permitting Department St. Lucie Cr ui. A/* ave agreed to be Sub -contractor for 9y, 4A126w le l74ft r, (Primary Contractor) or Property Tax ID #) that, if there is any change of status regarding our participation with the above mentioned the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the of a Change of Sub -contractor notice. 9 C017RACTOR SIGNATURE (Qualifier) I ll /ld 1f .?7 CERTIFICATION NUjjMB��E��Rpp orida, County of %, l.U�u The iOregoing instrument was signed before me this day of SUB -CONTRACTOR SIIGNATURE(Qualifier) �i1A/J✓C ��/�2i"+i PRINT NXME X/ COUNTY CERTIFICATION NUMBER p State of Florida, County of The foregoing instrument was signed before me this _ day of I I .20�, by . 20� by who is personally known " or has produced a who is personally known✓ byor has produced a as id i trtification. as identirication. �omI STAMP ba"STAMP Si to of Notary Public Ciature of otary Public I,l(t-� &ItVJ �a�I� &ak� L Notary PublicState ofFlorida JulieBairdMyCommission FF 163265 ;aVW Pus`• Notary Public State of Florida EKpIC�gg0125/2Q18 Julie Baird ; P� My Commission FF 163265 9OR %'d E6PI[ftq.9912er2018 11/16/2016