HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SG'q
SUB -CONTRACTOR AGREEMENT Sj yNE�
`UcjO Coon
C EeT21c��
(Company N, me/Individual Name;
the C-Lige%2tC AL-
r7 �a
have agreed to be
Sub -contractor for 10001 sc 6 y � R eq e ,TJveJ
(Primary Con ctor)
For the project loc ted at I I U 6 r15 W �t
(Project Street Address or Pr perry Tax ID #)
It is understood the t, if there is any change of status regarding our participation with the above mentioned
project, the Buildir g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change if Sub -contractor notice.
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;,CONTRACTORS GM T ^_(Qualifier SUB''-. _ CTORS GNATURE'(_ Qu�
1 �'2K Gt7 I �o6er7- 0dy u k
PRINT NAM I PRINT NAME
a�'3 -?l I i 98y9
COUNTY CERTIFICATI ppN N``UMER COUNTY CERTIFICATIONMB NUER
State of Florida, County o IIB�.i s �, State of Florida, County of h L uC e ^�
The foregoing instrument vas signed before me thisA l day of The foregoing instrument was signed before me this o(1 day of
ne ( zo \ by T-L tr r Dl,-r 20A by_ EokjC&:� P& ('J K
who is personally known ' or has produced a who is personally known�or has produced a
as identification. as identification.
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STAMP V STAMP
Signature of Notary Publio Signature of Notary Public
V h o o vS clS A. fi,
Print Name of Notary Pub lic Print Name of Notary Public
Revised 11/162016
V
the
PERMIT # ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
St. LuCB County
have agreed to be
Sub-contractorfor 90D1S 6� 17r(! 9 r] )C.
(Primary Contra tor)
1I o u e, wlvxel011)s
(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.
n
CONTRACTOR SIOFE(Qualificr)
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of e L. �_06 e,
TheOQ foregoing instrument was signed before me this I day of
t
1 ) (LC, ,2011, by -rZY V-I \NI ,
who is personally known _)6r has produced a
as identification.
Signature of Notary Public 1 '
.A. TL, o vv`a6'C t r"', X2�6 vJ 1f ILS
rint Name of Notary Public
Revised 11/162016
SUE-CONTRACTO nANATURE (Qualifier)
CrtV \0'%X
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S c, 1-06 e.
The foregoing instrument was signed before me this a day of
Q( L 20j,, by rc r r, W f
who is personally known �C_or has produced a
as identification.
STAMP i � STAMP
Signature ofNotaryPublic
A lg 6 W t C
Print Name of Notary Public
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