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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSI PERMIT # PLANNING & DEVELOPMENT SERVICES f�`= , o "=�' Building & Code Compliance Division a BUILDING PERMIT SUB -CONTRACTOR AGREEMENTFRECEIVIED 019 SGANNEartment r.BY Luce�anty, FL J� AUi 16 ✓L Q -ft C- • have agreed to be (Company Name/Individ 1 ame) �' the A11A(�— Sub -contractor for 0-�)rl175 10V (Type of Trade) y� I I (Primary�Contracto For the project located at LQ7 (�L1VL( S4,L )4•ybyco— (Project Street Address or Property Tax ID 1<) JZ1lD , 0 5 Z _ W 1 7 l S 00 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/Chan:geS b-con ctor no 'ce. CONT A&TC SIGN/AT/ (Qual/lnc/r)/ PRINT NAME COUNTY CERTIFICATION UMBER State of Florida, County ocL—L "w e- The foregoinginstrument was signed before me thido-L day o V1"- I r1 who is personally known _or has produced a !mil-.c1�t fU4�(�J �bOjPAn,� STAMP Signature of Notary Public SABRINA L. BLACK Itnuunul,,. �.a OFF 195337 Revised 11/162016 (Qualitler) i —T PRINT NAME gogIgI COUNTY CERTIFICATION ER State of Florida, County of(S ,LL�Ve— The foregoing Instrument 99 was signed before me this( day of �20J b> %",7t: C`J ev 2 who is personally known or has produced a as Signature of Notary Public SABRINA L. BLACK Print Name of *:z� #FF 195337 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 80ayNjeFD St LUc e COUnty have agreed to be /1lw.M 6 For the project located at 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. zz4 CONTRACTOR SIGNATURE(�Qualiir ) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of'JSYL,. oo The foregoing instrument was signed �before mme this I�day of 20ff, by Ur du 0'r7� wha is ersoaally knowa _or has produced a 'dentifira0oa. STAMP S n tu"of Notsty Publi Print Name of Notary Public y�{y,Q7G F tpSHf' 275Ub� ... s�£ MYC-0- ass �oef�20.2W2 Revised 11/162016 'q'., eiypry0elhd COUNTY CERTB7-1CATION NUM State of Florida, County of /jvL`C.ei T>&4Qiregoing Instrument was signed before me this day of f by Ph r 11 ' O }ICY' a 1, personally known _or has product as Identification. _t r 2 Print Name of Notary Viddic F7- AUDREY n„d:�' 9cMed ThNf„tary PUMSUndxrxMers -PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name) the (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT aCANNleD St LU�BCoUnty have agreed to be Sub -contractor for (Primary Contractor) 2y�n-Goa- 6ol7-oino-,E as or Propefly 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 otice. CONTRA RS NATUR Qual' ¢r) / PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Thh/ee�foregoing Instrument was signed before me thisIK) day of 20_t, by v who personaay known _or has produced a as identification. STAMP C)SIPt..ufN.tryftbl�il�� W5��4t� Print Name of Notary Public �:-%'�;:;�,µ lASffAHNAMGW�I•RAFUAI6!G . MY COMMISSION #0G 27fC:o EIPIRES DewnW20.2t"4 IC noMfldn.0 potmyPBne u,,: .� Revised 11/162016 — le� � , /"/ SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAM N 1,x1 COUNT I CERTIFICATION NUMBER � � q State of Florida, County of_04. C' foregoing instrument was signed before me this day of ./� 20&by o is personally known _or has Producedif N•� as Identification. Signs ure of Notary Pu ' Or Print Name of Notary Pui lic AUDREY S. HUMPHREY My COMMISSION 0 FF 174772 EXPIRES: March 6, 2019 MY COMMISSION g FF :70Z' FX?4iES A7.eci 2ni0 uc.%uen � i:�,,�; tRf/ • ::c; ov,da:,r � �. the PERMIT# I I ISSUE DATE (Type For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT 5c;q�j SUB -CONTRACTOR AGREEMENT aS1 cUC'b cc have agreed to be Sub -contractor for (Primary Contractor) N Zr) K n l _ An / >_ ne-,^ _ Jz 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. CONTRA OAR SIGNATURE (Qualifier) PRINT NAMEZZ COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing Instrument was signed before me this �� day of 200 who byelrU t �(1Q:o -Qpv r' ' wiho personally _or has produced a ,*en'li lion.STAMP f Notary Public Print Name of Notary Public G �cF)ptR7A1NG��2(50� �pj"�,rO', ts/cAMMtsst t20, Revised 11/162016 = �j+ 7F cBVREI..aneUn6 SUB -CO R SIC TURE (Qualifier) PRUVT NAME CO Uq C$ I F I CA T I ON PTM B E R State of Florida, County of r- The foregoing instrument was signed before me this—�Jday of 20�by - � is personally known _or has produced a=�J as Identification. l'y,,'�'Pl''('(�'I�-��` (�C Signature of Notary Pub Print Name oCNotary P Bc PU�#FFR�ty2 MERIRes• Mawbwuwa-mi�e�