HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# I I ISSUE DATE
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PLANNINGBuilding &Code i' DEVELOPMENT SERVICES St tUci�COun
RECEIVED t'
BUILDINGPERAH
SUB -CONTRACTOR. AGREEMENT FEB 13 2019
ST. Lucie County, Permitting
have agreed to be
(Company Name/Individual Name) (( 0 II
the Oec-4-Cw ( Sub -contractor for Z'0L'aen 'l lidls
(Type of Trade) (Primary Contractor)
For the project located at
Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation Tvith 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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C�OONTRA SI ATORE(Qualifier) l
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COUNTY CERTIFICATION NUhfBER
State of Florida, County of rZ-6—e C e—
The oregomginstrumeet was signed before me thiz---P—day of
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who is personally Ira or has produced a
s iden' lion.
STAMP
Sign tureomo
Print Name of Notar , Public
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GHERRIFERMAN
ComMaebn#GG181160
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Expires March 14, 2022
Revised 11/16/2016
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SUBCONTRACTOR SIGNATURE (Qualifier)
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COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this 2 day of
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who is personally Imowm,�`ar has produced a
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JEAN AMIOS ST VICro'
Notary Public. State of Florida
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Commission
My Comm. Expires Dec tl, 2022
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through National Notary Assn.
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PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
AJ PQO / s
(C tu ny Name/Individual Name)
the ///i J6 /'X-J GI Sub -contractor for
(Type of Trade) '
For the project located at OP�Z6 31/YJ
or Property Tax 1D
St. Lucie Coup
RECEIVED
FEB 13 2919
ST. Lucie County, PArmitting
have agreed to be
ze,UalU7 &0/S
(Primary Contractor) 19
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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CONTRACTOR SIGNAT RE (Qualifier)
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PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County afC G
The fo egoing instrument was si efore me thisL0 layof
v t/
who is personally known�_Oor has produced a
s id i cation.
c
STAMP
i atureo otary blic
Print Name of Notary Public
r. =°typ N' SHERRI FEHLWN
Revised 11/16/2016 a r commission# GG 187160
Expires Mamh K 2022
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SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
02 9�ss
COUNTY CERTIFICATION libBER
State of Florida, County of
The Pregoing instrument was si eforree me tthis_ days of
mZ%y ` �/ �(SrL/7%)
who is personally kno,lar-0 or has produced a
as i ent ation. 1
STAMP
Si ature of Notary Pqblte
Print Name of Notary Public
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Etilkn�rbn#GG187160
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