HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTIt is
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SCANNED
BY
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PERMIT # ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
W
Building & Code Compliance Division
IUNTY
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
— ' i Q A d 1 1 I as
(Com an Nam tidividual Name)
(Type of'rrade)
project located at
have agreed to be
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Sub -contractor for�}� ��;,ti5�`r-►1,�� ��.,, t� , -
(Primary Contractor)
(Project Street Address or Property Tax ID #)
W
i', �.-: .a `-l�11 gam•
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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.
PRINTINAME
COU it CERTIFICATION NUMBER
State orlorida, County of s�-
The fo oing instrument was signed before me thisy day or
2018 , by Cr: SV
whorl oaaliy known or has produced a
STAMP
J. KELLER
MY COMMISSION 4 GG134218
EXPIRES: August 25, 2021
Revised 11/i6/2016 �>
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PRINT NAME -
e2 9 8 75
COUNTY CERTIFICATION NUMBER
State of Florida, County or $+ &
The foregoing Instrument was signed before me this WL day of
7�t I Y , 20 W by m; Ch der, Pn 'de
who knersonsIly kn n ✓ or has produced a
as identification,
Signature of Notary Public
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tipildt,i�la,�t
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Print Name of Notary Public
PERW # ISSUE nkm
PLANNING & DEVELOPMENT SERVICES
.Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have.agreed to be
(Company flameAndividual Name) U r
I Sub -contractor for 1,R- I S '
Crypt of'rrade) (Primary Contractor.)
the project located at ! Ct,.'r €,qs 6, W �= i • r —
(Pr(sject Street Addressor Property Tax ID 0)
understood that, if there 1s 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.
�_Ta,4.e_s
(f_.11141715 i
County or 5A"
foregoing instrument was signed be brc me this �� day nr t
zlr
psoduceda
MY COMMISSION # GG134218
EXPIRES: August 25, 2021
ised 11116016
"AMP
SUB -CONTRACTOR SIGNATURE (Qualifier)
wa.da ee-
PRINT NAME
COUNTY CERTIFICATION NUMBER --
StateofFlorida, Countyof�++tx) 7%
The foregoing lostrutnent was signed before too this, ✓ r day of
20�T, by aLke— Cgs,y
who is petzanstly tuxrwn �or tfas prndueeS s
as fdeatifiattioa.
STAMP
'S!TuvWo1Notary Pubtle
/�
r�af Notary Pobik
MSWhA.QRY8
WCOMMtS810M8GG 17/078
:•.. EXPIRES: peamW27,202f
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