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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSISSUE -DATE PLANNING & DEVELOPMENT SERVIC - I Building & Code Compliance Division ©tolls BUILDING PERMIT 7_= 7 7 - —SUIT-CONTRACTOR AGREEMENT (Comoanv Nam.•Hndividual Nam the 13 0 0= I N Sub -contractor for (Type of A ride) For the project located at Z 3 'reject Street Address or Property NA QM.Y FEB 2 7 2019 Permitting Department St. Lucie County, FL have agreed to be Uvti�' (Primary Contractor) ($'(>0k-A I NC P, S , t-. 5�-'zu St, egcie CoUn It is understood that. if there is any change of status regarding our participation with the above mentioned ID #) 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. C.'ONT \CfOR SICNA'1'l!RE u• ifierl -- --- rRlxr N,\>n: � 2,3 Z':66 Cot-, r1' CERTIFICX1'I0N NI`nnIER State of Florida. County ofte The foregoing instrument ans'igned before no thtaly day of [1 x bar 'vh(, is personally kr own or has producedproduceda �t U♦ as ideminnttim v �L Si n ore of Namrr I lic 'Z4 wtl�l 1m`-ie-y Print Name of Hoary Public AUOREY B. HU:6,2D19 EY Revised II116/_016 .c Myro SSION74772 �8R1 :o EXPIRES: MarcBonded TNu Notary Puer rders Sun -COYfR:\CTOIt SIC\,YfUR (Qualifier) Imo/. a ri � S ruz\,•an.J , - ren^f v,\nle CCc0575'76 , _ COUNTY CERTIF•IC.\TION NU.NIBER State of Florida, County of d 4_"_t) , The foregoing instrument was signed before me this day of Ft:6 .20-&, by,_ KL\1..0 M _ 314A. oP� „ w ha isp 'anal,nmsn r a r dt c as identif:calina o1N`°Peer,-, DEBORAH EDITH REED :; : +.�. a, NotaryPublic-State of Florida ; Commission A GG 113779 My Comm. Expires Junyli'-2 �, dps p rough Nxlronal NotaryAssn Signature of Notan• Public Name of Notary Public M, PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT RECefluCie County SUB -CONTRACTOR AGREEMENT JUL ® B 2019 Permitting Department St. Lucie County S -r /w r--f'C—Vz/d- tom- have agreed to be (Company N e/Individual Name) theSub-contractor for (Type of Trade) (Primary Contractor) For the project located at `? L3 3 M A-tzS te+ (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. CON CfORSIGNATU Qualifier) PRINT NAME COUNTY CERTIFICA NUMBER State of Florida, County of tUU li_ The foregoing instrument was signed before me this IL day of 30�by e cr l(:io .—)z)-oc who is personally known or has produced a hL _ I V as identification. FV % ` rQ i A STAMP Signature of Notary Public --1nuasicn # GG 2 My commigci..., r. Revised I1/162016 VS Me— ab-dAcD SUB -CONTRACTOR SIGNATURE (Qualifier) ( ow &Yf\ b1L M _1 PRINT NAME acoe T1 COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of , 20_, by who is personally known _or has produced a as identification. Signature of Notary Public STAMP PERMIT# I t r p 1 A-y.L� C""` I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. { tt3ar-0 Stale of Florida Certification Number ofappucabley Cc 33 z&`T 20 — (c}t3aF1.1< Sub -contractor for (Type ofTrade) (Primary For the project located at } 2 3 3 A] �krS LI (Project Street Address or '90,4 �Aj80 RECEIVED J(1L a 8 1014 permitting Dept tMe have agreed to be the i 11_ i_ t_ Crr f 3721 -,kb� - 00 3 �7 .ae ID4) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED nusiness Namc:Address:.- City/State/Zip: [ C a•tC-•V ¢"�� _ Ct 1 _ •_. Phone: 1`'%�-S�O' .'a '.fS(i �� -- S�-ets•P 1TG<'I��` `� "�1 lei. SIGN PRINT NAME DATE STATE OF FLORIDA, COUNTY OF rZ.°hf\ THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS C2 t 5!DAY OF -I ?fit 20 BY }-�',;,- �")'p: ? ^�� WHO IS PERSONALLY KNOWN OR HAS PRODUCED iI I n r1 4 v�1X�ila L``� bf1GNATURE OF NOTARY PUBLIC i SLCPDS: 0810612014 AS IDENTIFICATION. _ (STAMP) 1� (� 9.fYt �•Lak �"t'i:n-F-F;�-ir•n PRINT NAME OF NOTARY PUBLIC 4 tiG:�r�.cae.tia $.2ffi MFIo{Ida o4aU$4 °'- .� - Cerr^2la Erailtantenl N-�'+, • orn� FF 475783 Erp;ra_ JSJ2&2a20 a PERMrr.0— ISSUE-DATS Pl�"N N .I)EVEIAPMENT SERVICES g &.Code Compliance Division BUILDING PEILMIT IkAGMEMENT I the Force pTqjcct &CAAIAllwb - Lucie Counfl, tic, It is unders.-lood that. if there is any c!pr46 orstaWs regarding of panicipation with the above mentioned prdj=L the Building and Code Rt;p);lJoii Division of St Lucie County hill be advLqe(•ptttsuant to the MW Of 2 Ch@m,-e.pf !Stih-comnactor notice. 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