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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTJ PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name/Individual Name) the 11 c� , 11 (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED I NED B, have agreed to be Sub -contractor for 4_ �cV_11 `A (Primary Contractor) For t project located at S (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned projec' , the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing ; f a Change of Sub -contractor notice. SIGNATURE (Qualifier) PRINT N II1 Q_ 00 COUNTYRTIFICATIONQN�UMBER State of Fl ida, County of The forego g instrument was signed before me`this�n day of �v 20� who is pers nally known _✓or has produced a as idenfific 'on. STAMP Signature o(jNotary Public 01""'I"o"'STELLA M. HUNTER k o Notary Public - State of Florida • ; : • = Commission # FF 180552 My Comm. Expires Jan 23, 2019 Bonded through National Notary Assn. Revised 11 SUB -CONTRACTOR SI ( ifier) (,i 1 et PRINT NAME 0 5 C_' r \1__\2k --I %",-) 1 COUNTY CERTIFICATION NUMBER State of Florida, County of �c. %4L— The foregoing instrument was signed before me, this day of v 20� by ��,iZ �c `� • '1 who is personally (mown _or has produced a as identification. 'Asx� STAMP Signature of Notary Public Print Name of Notary Public .':N"Y P"•.,,� STELLA M. HUNTER Notary Public • " Commis - State of Floiicfa aoY Commission # FF 18o55,,) FI°���` My Comm. Expires Jan n ; c Bonded through Nationa; %, •, ,, , ___ �,ssn PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 'zi � A\C- have agreed to be (Company Name/Individual e) the V Sub -contractor for (Type of Trade) (Primary Contractor) For t project located at �O�'�\ ©f' Cf��Q� ��� %& g`ykRts, (Project Street Address or Property Tax ID #) VJlJ 1%_ 3 It is u derstood that if there is an change of status regarding our participation with the above mentioned Y g g g P P projec,, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing f a Change of Sub -contractor notice. CONTRAiCTOR SIGNATURE (Qualifier) SIWCO0rRACTOR SIGNATURE (Qualifier) 'QbI, c v CYO 7/ ail rev. PRINT N ` PRINT NAMIE Z COUNTYilg ERTIFICATION NUMBER_ COUNTY CERTIFICATION NUMBER State of Flda, County of� Var_%.4— State of Florida, County of�r— The forego instrument was signed before me thisQL of The foregoing instrument was signed before me this dayof :is i20\T by 20 by 3' L0U Wally known has produced a who is personally (mown _or has produced a -on. as identification. ` STAMP _ \ • Q_� _ STAMP Signature o otary Public Signature of Notary Public Print Name f Notary Public Print Name of Notary Public "++ STELLA M. HUNTER 7-� �.��STELLA M. HUNTERNotary Public - State of Florida =a°Notary Public -State of Florida Commission # FF 180552- -' «Commission # FF 180552o My Comm. Expires Jan 23, 2019�%�9. Comm. Ex i � Y res Jan 23Revised 11/16 0 ' of �o'�' Bonded through National Notary Assn.���'onded through National Notary Assn. ' i the PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name/Individual Name) (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for (Primary Contractor) For Ie project located at 1�J'%s \ 'ZI. C sQg gT"L (Project Street Address or Property Tax ID #) 'LQA --* 3 It isjlnderstood 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 of a Change of Sub -contractor notice. (Qualifier) State oLloridaCo of�` �. The fort was signed before me this day of p� who is or has produced a as iden v 1 STAMP Print STELLA M. HUNTER Notary Public - State of Florida Commission # FF 180552 My Comm. Expires Jan 23, 2019 Bonded through National Notary Assn. Revised S CO RA07 URE (Qualifier) PRINT NAME CO�t�ERTI]FICCAAT ON NUMBER State of Florida, County of�C The foregoing instrument was signed before me this AZI day of who is personally known has produced a as identification. STAMP Signature of Notary Public Print Name 11'l/G Y0% , STELLA M. �• Notary Public - HUNTER Not '• ; * State of Florida Commission # FF 180552 ''U' � a�°;` My Comm. Expires Jan 23, 2019 Bonded through National Notar g yAssn.