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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSI. PERMIT# ISSUE DATEF 7=7 rAoxY;kt3z�z.. COU�NTxY� PLANNING & DEVELOPMENT SERVICES Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Do 15 r � trr (Company Na a/Individual Na e) the Sub -contractor for (Type of Trade) For the project located at ,a2)bo ca,(\l,_(� cY RECEIVED DEC 0 3 2018 ST. Lucie County, Permitting have agreed to be 90D15 6\1 Gyea .� nc. (Primary Contra •tor) SCANNED (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 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. CONTRACTOR�I�. ATURE (Qualifier) PRINT NAM COUNTY CERTIFICATION NUMBER State of Florida, County of s, L\ 6 e The foregoing instrument was signed before me this 3 day of .e- ,20_1Vim„by Tt frV .9tX who is personally known)Lor has produced a as identification. STAMP SignAatuiee of Notary Public Print Name of Notary Public �rMs'% Notary P=ofFlorldeA ThomQMy ComRevised I11/16/2016 �eOF d Expires SUB -CONTRACTOR ATURE (Qualifi r) l%rr PRINT NAME Q `b Y:: ( COUNTY CERTIFICATION NUMBER State of Florida, County of County The foregoing instrument was signed before me this 3 day of � ,20)I,by I cry who is personally known ILor has produced a as identification. STAMP Signature of Notary Public ^1 r �-r��a� 'nA 1Qt5 vs) r✓l Print Name of Notary Public E4,,/ Nota Pu I ry b iG Star o: Cb.. .A Thomassna i, powinsMy Commlaslen GG 2oi»3 Expires 03/29/2022 ', 5 11 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Divisio RECEIVED BUILDING PERMITSUB-CONTRACTOR AGREEMENT DEC 032018 pavo C'L�eT�rc/�oderT �ayu the J�_' For the project It is understood project, the filing of a Change C a�^3 L at a Sac (Project ST. Lucie County, Permitting SCANNED BY n have agreetoll 1e County Sub -contractor For 10ooi , 6y l Reg i _T'Wc (Primary Con ctor) Cayvoc QczK, La et Address or Property Tax ID #) if there is any change of status regarding our participation with the above mentioned and Code Regulation Division of St. Lucie County will be advised pursuant to the Sub -contractor notice. State of Florida, County o �—ft , j L e_ The foregoing instrument as signed before me this! 3 day of r�_� .20 ' by Te f f � who is personally known or has produced a l as identification. STAMP ov sty Notary Public State of Florida ap t; AThomasina Bowins My Commission GG 201733 Expires 03129/2022 Revised II/16/2016 °fa� / goo yx COUNTY CERTIFICATION NUMBER State of Florida, County of S*- 1, U k, L The foregoing instrument was signed before me this day of 20ft, by who is personally known Xor has produced a as identification. STAMP Signature of Notary Public Pzi �y (5 rrcaS\' (\a Print Name of Notary Public ap�Nk Notary Public grate o/Florida A 7homasina Bo ys,� My Commission GG ins `er� Expires 03/29/2022 201733 I