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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTS M PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division theli1 (Company Name/Individual Name) �I Jo6 i4 m f, 6- _ (Type of Trade) BUII.DING PERMIT SUB -CONTRACTOR AGREEMENT G SCANNED) BY Lucie County have agreed to be Sub -contractor for ,J A &15T_0, vK AC?JL. S ZA,i__ (Primary Contractor) Je project located at �y 5 For t l T L/ D A- `/ /�I� Ltd e rr (Project Street Address or Property Tax ID #) It is u' derstood 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 16f a Change of Sub -contractor notice. PRINT COUN' State of The for A who is 1 as idenl 14g.. S tu �v Print N 114- z�/S&l7_/ CERTIFICATION NUMBER a, County of st ty instrument was signed before me this day of 20L(Cby �' ' O [Hy know Orr produced a c SUB-C TRACTOR SIGNATURE (Qualifier) It— PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of s7i`t <- The foregoing instrument was signed before me this J!? day of 20La by who is pe onally known_Kor has produced a ration. as identification. 01 STAMP of Notary Publi`lc1 Signature of Notary Pubblic e of Notary Public Print Name of Notary Public ,;;ar► WILLIAM H DONOVAN JR :•• •" MY COMMISSION # GG093578 . 'EXPIRES APA.12. 2021 Revised 1 1�16/2016 STAMP ,�%'.•,, '1NILLIAM H DONOVAN JR •" MY COMMISSION # G0093576 +�? EXPIRES Aptil 12, 2021 4 PERMIT # I r I ISSUE DATE the ir (Company i C L t=c PLANNINq, & DEVELOPMENT SERVICES Building & Code Compliance Division e `BUILDING PERMIT SUB-CONTRACTORAGREEMENT MANNED BY Si Lucie Cc)uniy E' GEC-T12t. dame/Individual Name) (Type of Trade) For a project located at have agreed to. be J Sub -contractor for /n't. C CL S% D �'i't (Primary Contractor) ; dS 6J RA G m 6 1 T (Project Street Address or Property Tax ID #) c9 �-� L C, Cc" P"rl) It is t}nderstood that, if there is any change of status regarding our participation with the above mentioned pros ct, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the. filin �f of a Change of Sub -contractor notice. I i CONr ucroR SIGN uRE ( er) XB-CO GTOR SIGNATURE (Qualifier) ea PRINTi NAME PRINT NAME State o The foi 41 who is as ides Revised. ,�Z f�&7 s, County of Jt 14'C t C, instrument was signed before me this 3 11 day of .2o�y �d�►7 / �[a-� illy known 7y-or has produced a of Notary V' STAMP WILLIAM H DONOVAN JR •' MY COMMISSION # 00093576 EXPIRES April 12.2021 I1116t2016 L.L 1,�Oo5u S� COUNTY CERTIFICATION NUMBER State of Florida, County'6t (e h foregoing instrwnent assigned before me this I day o I 20 C k� S V ('V ecLt who is personally know r or has produced a as identific#tion. (, 00 P64 Notary Public State o1.Flo rida Kaylin J May c My Commission FF 914312 Vo►F�o� Expires 10/03/2019 STAMP a