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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSf the PERMIT# I I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT j SUB -CONTRACTOR AGREEMENT L'YFe7T'IC141 Ler7- Pa L (Type ol Trad ) For the projectloc led at O (Project Street i SCANNED BY St. Lucie County have agreed to be Sub -contractor for 10001s 6V (Primary Con ctor) or Property Tax ID #) It is understood that, if there is any ctlange of status regarding our participation with the above mentioned project, the 13jildir g and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Chal ge of Sub -contractor notice. PRINT NAME/ a!�3 -? COUNTY CERTn State of Florida,C, The foregoing hits IF! \ who is personally h as identification. Signature of Notar +r t \ o M Revised 11/162016 A is signed before me this! bf y-day of by I( Y y �/ ti X c-SIjB_C 'SMr ATURE.(Qualifier) �berT- Pa.vttk PRINT NAME 198 yq COUNTY CERTIFICATION pNUMBER State of Florida, County of 7U Gl <_ The foregoing instrument was signed before me this day of vL\� ,20_L by e,.6 who is personally known,)t, or has produced a as identification. Jam} STAMP _ �i� �4 ���I �tt�' STAMP Signature of Notary Public Print Name of Notary Public VV '0i ooi, Nolary Public $tote of Flanda k A Thomasina BoG 201 B` My Commission GG 20'1733 Expires 0312912022 R R!D Erplros E the PERMIT# I I i ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT PO O) s Lv 4'2P - ., l zec e e 1/ I (Type SCANNtu BY St. Lucie Count%, have agreed to be Sub -contractor for POC)R b$r �le (Primary Contra tor° For the proj ecl locdted at A cl`O ; vxQ 5 L K L (Project ,Street Address or Property Tax ID #) i It is understood that,if there is any change of status regarding our participation with the above mentioned project, the B ildi g and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Cha I nge if Sub -contractor notice. CONTRACT RE (Qualifier) % EcPRV�`//LU t X PRINT NAME . aR371j COUNTY CERTIFICATION NUMBER State of Florida, Countyo[ ±. The foregoing instrulment was signed before me this `'a�' day of 120_)_Sby 1-(� n�-s who is personally kgown)'\l or has produced a i as identification. STAMP i Ov e{Y k Notary Public State of Florida ;� P A Thomasina Bowins @' '�eor My Commission GG 201733 Expires 03/29/2022 ds Revised 11/1612016 SUB -CONTRA SIGNATURE(Qualifier) / r' IP ICE/ �J I V- PRINT N COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this � day of F: b zo_n, by TCifirl w i who is personally known -:g-or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public R Notary Public State of Florida A Thomasina BOwlns My Commission GG 201733 Excites OX29/2022