HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT-# —- -qo( gq ISSUE DATE
the , &'[
(Type
For the proje
It is undersl
project, the
filing of a (
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMTI'
SUB -CONTRACTOR AGREEMENT
�Y�e%2iC�0oIer-r Pa
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at
Sub-contractorfor /00a)- 6
(Ptamary f`nnE�
have agreed to be
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.
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I I i 98 3/9`
NUMBER COUNTY CERT [CATION NUMBER
COUNTY CERTIF
CATION
State of Florida, Cot
my of
LUCU e- State of Florida, County of s�. LV(\e
The foregoing instru
ment i
vas signed before me this ''11
day of The foregoing instrument was signed before me this wLP day of
NOV
20A,
by TcrN lI�X NOV 2o]g,by i;66eatt- P�)(uK
I
who is personally kn
DwC!�or
has produced a I - who is personally knownor has produced a
i
as identification.
as identification.
A
STAMP Signature of Notary Public STAMP
Signature of Notary
Public
vV /'( 1 I�0 ✓1�I ro S\ /�Ot Ili}y I`n C —
is Print Name of Notary Public •�
Print Name of Notai
y Pub
.w
NotaryPublic State of Florida
A Thomasina Bowins .yr Notary Public State of Florida
Bowins
&N
Revised 11/16201
i
• My Commission GG 201733 : A Thomasina
Expires 0312912022- • My Commission GG 201733
�_
- - - - �__-A� Expits 03/29/2022
- - _
ii
the
PERMIT #
(Type of Trade)
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Project Street Address or Property
Pettl1O1q
fS l41?9 de
't4% Co a7menr
have agreed to be
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.
CONTRACTORS AT E (Qualifier)
W
PRINT NAM
a003� 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of s
The foregoing instrument was signed before me thisa iP day of
N oV ,2okl by Tf,f 9 \0 t
who is personally known 9-or has produced a
as identification.
Signature of Notary Public
A .— V. wQ S nta i90 w 1 nS
Print Name of Notary Public
SUB -CONTRACT IGNATURE (Qualifier)
e_'Cr
PRINT NAME
Qcil"3--t l
COUNTY CERTIFICATION NUMBER
State of Florida, County of SLIXA li
The foregoing instrument was signed before me this a V day of
W o V 20A by
who is personally known %�or has produced a
as identification.
STAMP STAMP
Signature of Notary Public
Print Name of Notary Pubic
�40 Notary Public State of Florida
A Thomasina BOwins
Revised II/162016NEE
State of Florida My Commission GG 201733
a Bowins or Expires D329/2022
on GG 201733
/2022
6