HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # ! r ISSUE DATE
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ST (1C')E-_•
COUNTY
Fa
O R I D A
El:
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SDBYtiED
SUB -CONTRACTOR AGREEMENT St. Lucie Coup h/
1� iad t, y have agreed to be
Name) ' J
Sub -contractor for �g r�,��o [n�'r PU.
(Primary Contractor)
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 -contractor notice
CQaIJIIGTIOR NATURE (Qualifier)
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PRINT NAM
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COUNTY C RTIFI11CAT-
ION NUMBER
State of Florida, County of 5�- W Gl�
The foregoing instrument was signed before me this-" day of
2011by
who is personally known _or has produced a '
A)1/a
COUNTY CERTIFICATION NUMBER
State of Florida, County of c�iJ: (l.f Lt—vj The foregoing instrument was signed before me this / � day of
20(7, by
who is personally known _or has produced a
as identification. as identification.
��1 r
Signatureo�i `otary Public
PERMIT# Ip 6 `U 1 r3 ISSUE DATE -Ilnll
r�/ ,I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company SmeAndiv ual Name)
the \[""
(y e of Trade)
For the project located at C(
(proiect
BUILDING SUB -CONTRACTOR AGIT SCA
AGREEMENT NNE,)
�Ucie Cpun
I II tJ'
`1 IG�al Y have agreed to be
Sub -contractor for ",e _ o u,4, e,
(P—rim ry Contractor)
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 g Suk-contractor notice
CQ_'VT AQTOR�RGNATURE (Qualifier)
PRINT NAM
1�—
COUNTY C RTn1IFICATION NUMBER
State of Florida, County of 5�- ck'k—
The foregoing instrument was signed before me this J4 day of
_"120_Qby
who is personally known or has produced a
as identification.
A) la
COUNTY CERTIFICATION NUMBER
State of Florida, County of S& W ` -pJ
The foregoing instrument was signed before me this ff— day of
� ✓l20, by
who is p"rf sso eonaalllyykknown _or has produced a
as identification.
at
/ YP I,( I//-/.��./ �� STAMP
Signature orNotary Public
Print
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PERMITO I , I ISSUEDATE
{ ,,,, PLANNING& DEVELOPMENT SERVICES
sio'RECEIVED
i .a Y'= Building & Code Compliance Divin
WIN `
BUBAfNC PERMIT MAR Y 1 2019
SU&C0BTPotCF0R AGREEMENT
ST. Lucie County, Permitting
greedto be
icd di>no nw "idua�Nsln¢T f7 �t / p
the`). 'Ji'f Subcontractor for I� dYEt, Dr� C—G��SA+rY
— l ofTradc). Q,'mat ccnnncwr) n
For the project located at a S i'[ . 41' R, ufN Q(r. EL_ Y%AVice rr�
/ 3�gvZ
' (PWIC4 Street Addves Prepaiy'rax lD H) -1
It is understood any change of status regarding our participation with the above mentioned s{
project, the Building slid Code Regulation Division of Si. Lucie County will be advised pursuant to the ll�'
riling of a Change of Sub -contractor notice.
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