HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # t {\ f O 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT OGANNED
SUB -CONTRACTOR AGREEMENT BY
�t I.ucie County
/ a S/a d�Zt� OTT?l e— //f o d ert /aV a A have agreed to be
Company Name/Individual Name
the �tCC7TreIcAL Sub -contractor for /-oak G$z
(Type of Trade) (Primary Con actor)
For the project located at
or
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.
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CONTRACT IGNAT E (Qualifier)
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PRINT NAME /� I
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COUNTY CERTIFICATION
CNUMBER
E State of Florida, County of UK 1 �
The foregoing instrument was signed C before me this I Q day of
O' V 20� by I J f J W\ i41
who is personally known -or has produced a
as identification
Signature of Notary Public I
Print Name of Notary Public
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k Notary publlo SfatO o!e• MY Commisa�on 00 2P hires 03/28/T02TRevised ,
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SUB-OW,VACYSIGH AATURE (Qualifier)
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COUNTY CERTIFICATION NUMBER
State of Florida, County of Si, wi,\ (-
The foregoing instrument was signed before me this _\�L day of
ni ov 20-a, by 1 .vv-4 W � A
who is personally known . 2Lor has produced s
as identification. /ep
STAMP _ "�—!•
Signature of Notary Public
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. of Notary Public
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STAMP
PERMIT ��� G p ISSUE DATE a` 8 —0 il
KG & DEVELOPMENT SERVICES
[ding & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT St LUC13Y
ty
PO O) S b (Z 2 1/UC'. % f e e 1 have agreed to be
(Comps y e/Indivi at Name); n
the i� Lim, )A � Sub -contractor for PO c S b y In 2 qg �
(Type o Tra ) (Primary Contra tor)
For the project loc tedat c8S iS�rn;n1 �r\%ye C1�S�G��r�oO l��wnr� 31i�
(Project Street Address or Property Tau ID #)
I
I
It is understooii that, if there is any change of status regarding our participation with the above mentioned
project, the B lldi g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Chal ge f Sub -contractor notice.
a R3 7
COUNTY CERT
State of Florida,4
The foregoing ins
who is personally
as identification.
Revised
r
of si-. LV(\ L
t was signed before me this a day of
Iby 1 c'fr 4 W
J`or has produced a
V / 1 STAMP
�nC,
I Notary Public State of Florida
A Thomasina Bowins
i My Commission GO 201733
Expires 03/29/2022
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SUB -CONTRACT( RYL GNATURE ualifier)
/ r t? JAU 1
PRINT NAMW
a a-3_),1
COUNTY CERTIFICATION NUMBER
State of Florida, County of - . w C <-
The foregoing instrument was signed before me this 1 a day of
O V , 20A by k VY I \11S
who is personally known)�-_or has produced a
as identification.
'�Tl STAMP
Signature of Notary Public
�j.�Q�vws;n9 wins
Print Name of Notary Public
I
ep %
y
Notary Public State of Flodtla
A Thomasina 8owins
"ern
ExpMy ires 0329/20ommission 22G 201733
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