HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT0512412018 08•23 p
! LRMITO ISSUEDATE
MENT S)MVICB
..,;�,�..,,�•,,..:.;...•. P�,t�NNING & AEVELf)P RECEIVED
Building & Code Compliance Division
j • NOV 06 2010
S UELIDEgG PERMIT
gU&CONTRACT ICIR AGREEMENT
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2qtkg=d to be.
(C0-- y NaIndindividual Nuns) U % n,
the � � �_� ,, _ Sub-conftadw for c -
f (Type'of Trade) n (Pfjptnry Cont:sohyr)
For the project located at
It is
aderswod that, if there is any change of statue regarding our participation with the above mentioned
the Ruilftg. and Code Replatfon Division of st. Lucie County will be advised pursuant to the
of a Change of Sub -contractor notice.
COVNTY CU
r state' rplozidl
The tore I
who Is panoon
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GOVNTY CERTIFICATIONLGG
County of / State orFlorlde. counryor
atruttrtat waarl�aa f0reme tbti � dey o: The fomsorng Instrument Was alga brlbre Me IWJ6 day of
(174 i _ tOj�by
f 1mow bn produced a who is peraonstly unow&.7—A ras produced a -
� on.
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STAMP
ry n 0 at hire of N u
Prim rq— of Notary Public
I
prlot Nme of Notary Pubwc
SyiERRI
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SHERRI FEHLMAN
Comm'iWoh # GG 187160
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Commiss�on # GG 187160
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I Expires March 14, 2022
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Expires March%2072
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
011,QE.�J �Do �S
Name/Individual
the
(Type of Trade) /
For the project located at
(Project Street
SCANNED
BY
St Lucie.County
RECEIVED
NOV 0 5 2018
ST. Lucie Cour)ty, peps
have agreed to be
Sub -contractor for 'zQ aeal/J00
(Primary Contractor)
or Property Tax 1D #)
C_
It is understood 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 of a Change of Sub -contractor notice.
I
CONTRAC SIGNA R (Quali ier)
/ -le — - �- A "/-, /-"j
PRINT NAME
COUNTY CERTIFICATION MBER
State of Florida, County of�
I
The foregoing instrument was
si d befo/r�e me this % day of
4, � 20�� by
who is personally known t/or has produced a
as ' enti c tion.
I
�! I
STAMP
S azure of N' to u c
Print Name oflNotary Public
o��gY Pbe�� SHERRI FERMAN
Commission # GG 187160
Revised I1/16/2016 Expires Marcd1�14ry202
I rFOFF�O� Bondadihtuf3�id0et
SUB -CONTRACTOR SIG ATURE (Qualifier)
kze
PRINT NAME
CS-6 ql
COUNTY CERTIFICATION NUMBER
State of Florida, County ofs=/
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The foregoing instrument was signed before me this A9day of
(! JO , 20f , y �� ,-- _< /Il/y0
who is personally known*�or has produced a
as iden ' ion.
3?!
STAMP
ignat re of Nota ub
Print Name of Notary Public
�1F�Y F�BGc
SHERRI FEHLMAN
Commission # GG 187160
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Expires Mardi 14, 2022
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