HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSP RMIT #
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ISSUE DATE
PLANNING & DEVELOPMENT SERVIG
EnRding & Co& Compliance Division
19IUMD1 NG K MIT
SUS-C®NTRACTOR AGI ER1Vl N'1C
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ANNED
BY
10
sEP 2 6 2018
Si- Lucie county., Permitting
agreed to be
Sub -contractor for tA.) rl Qc'u %c✓�/✓-, �,� % �� �/�
(Prim . Contractor)
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Street Address or Property
stood'that, if there is any change of status regarding our participation with the above mentioned
e Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
Change of Sub -contractor notice.
CONTRA OR SIGNATURE (Qualifier)
PRINT N
COUNTY CERTIFICATIONNUMBER
State of Flo Ilda, County of�,
The foregoi g instrument was signed before me this day of
.. 'm'Sv,1Jy4t
who is persa aally known or has produced a
as identi6cgill D.
4 16 ' `""` — STAMP
Signature 6f Notary Public
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PrintName "' Notary Public ;
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EP:1l FF 878543
Revised ll/l/Z036 02o
O RACTORSIGNAT (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of %-?—
The foregoing instrument was signed before me this�4 'day of
byAAW t:kU VV b
who is persotalky !mown -V--or has produced a
as identification.
STAMP
Signature of Notary Public
a�f t� aa
PrmtName of Notary Public (4
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.; Commission # GG 022076
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SEP 2-6 2018
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DOROTHYANN B.ASKIA
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c6mMISSION # GG 030-145 OWA.
%XPIRES: Octobdr 2,2020
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PERMIT# ISSUE DATE
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PLAN N G' & DEVELOPMENT SEIWICES
Building & Cade Compliance DIV19io
DUNTYRECEIVED
IBMDTNG PERMrr
Su'is-CoNTRAcrORAGREEMENT SEP 2;6 2018,
ST, Lucie county, Rorm►rting.
,,omfort Control
o'€ St.
Lucie County, Irxc.
have ag�reed-to'be
(Company Namelndividual Name)
nderstood that, if there its any change of statua regarding our participation with the above mentioned .
4, the Building and Code Regulation Division of St. Lucie'County will be advised puisulant. to the
of a Change of Sub -contractor notice.
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PRINT NAME
8288
RTTPICATION NC)WM9A couNT`Y' CI;RTIPMATRW NUMBER
Statjof Florida. County
iush•umiat//was fined before me this+ day Of The foregoing instrument was atped before me thk 'day of
By known �or has produced a who is personally haown —Zor has produced a
asidentiBeaiion,
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STAMP- STAMP
eta J ablic Signature of Notary Publ'
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Yota Public. Print Name of Notary Public
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DOROTHYANN BASKIN. , . .
MY COMMISSION # GG 030145 DOROTNYANN BASKIN
�? MY COMMISSION # GG 030145
•;e EXPIRES: October 2, 2020 ;
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FRECEIVED
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ST. Lucie County, Permitting
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DOROTHYANNBASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2 2020
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MY COMMISSION# GG 030145
EXPIRES: October2,2020
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