HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe
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PERMIT #
A-
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BY
I l�-U(�(A? (,h,dr,ff
Name/Ind'uidua Nam
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Type of Trade) J
project located at 5520 �rte To P 7-1re
(Project Stre t A�rr,Property
(Primary Contractor)
ID #)
have agreed to be
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
f a Change of Sub -contractor notice.
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PRIM' AME
` ,- ) �-
COUN i Y CERTIFICATION NUMBER
State of Florida, County of �_s�
The for oing instrument was signed before me this day of
20 i' by
who is rsonally known or has produced aj�
as idenh cation.
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E,7'XPIRES:
AUDREY B, HUMPHREY
COMMISSION # FF 1270417772
Revised 1/16/2016 March 6,ed Thru Notary Public Underwriters
$iFB, COO' ——CTORSIGNA UIW,(Qua1ir.er)
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PRINT NAME
v1 �4 .
COtATY CERTIFICATION NUMBER 1 l' , ,, �-[/I ,
State of Florida, County of �� k . /, e.
The foregoing instrumentt was signed before me thks—:-- day of y
,20l!,by eIiA p r(iy
who is personally known or has produced a C ,
as identification.
/ TAMP
Sign. ure of Notary blic
D '5'
Print Name of Notary Public
<� : Py6�c, AUDREY B. HUMPHREY
r MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thu Notary Public Underwriters
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b70
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
l' y 1 � Pow, U_ k have agreed to be
(Company Namekuh idu ame,
the 4 r Sub -contractor for
(Type of Trade) (Primary Contractor) 7
For the project located at / D f t 70 T (l rk
(Project S ddres or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned ^
projeq t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONT CTOR SIGNATURE (Qua Tier SUUBB_CONTRAC`I'OReSIGNAT.V tE'(Qua, lifer,),
PRINT AME P NT NAME'
i G 1 -,
i 11
COUNTY CERTIFICATION ER `-/ e CO Y CERTIFICATION NUMBER
State oilylorida, County ofs- -l/t-e ( State of Florida, County ofLAC -e I p
T %4! oing instrument was signed before me this _S_ day of
'e r by a a_
who is parson y n or has produce)
as identification.
aA-fA_J4L4Af I r",-- a40 AMP
Signatu a of Notary lic
1�0M SF""
Print Name oIfNotaky Public
1/16/2016 "' eva < :
sroe
AUDREYB.HUMPHREY N
MY COMMISSION # FF 174772
EXPIRES: Nlarch 6,201
Notary Public Undarwriters���
Bonded Thru
The foregoing instrument was si Wdb re me this S day of
�` . , 20 , by &n r o L� .
who is personal) or has produced a .
as identification.
rAAZ&� kl-B
Signature of Notary lic
Print Name of Notary Public
AUDREY B. HUMPHRE
MY COMMISSION # FF 174772
EXPIRES: Mach 6, 2019
'� P ; F�o?•� Bonded Thru Notary Public Undaiwriters
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