HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT #
(Company
the C- LEc
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
iWELDING PERMIT
SUB -CONTRACTOR AGREEMENT
L
20ber7- 7 a yu
For the project loc {ted at L:>% 0'
(Project
It is understood
project, the
filing of a Change
SCANNED
BY
St. Lucie County
have agreed to be
Sub-contractorfor 1000 S? 6I/ i-T/ve..
(Primary Contiactor)
or Property Tax ID #)
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.
r
State of Florida, County oi C
The foregoing instrument vas signed before me this day of
20 by 1 t (-V- I W A X
who is personally known or has produced a
as identification.
STAMP
Name
va+hy Notary Public State of Florida
;P 4; A Thomasina Bowins
My commission GG 201733
Revised 11/16/2016 11 and$' Expims0312912022_
SUB-CONT T SIG ATURE (Qualifier)
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PRINT NAME /
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COUNTY CERTIFICATION NUMBER
State of Florida, County of if• J C �(_
The foregoing instrument was signed before me this3 day of
g/J
who is personally known or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For the project located at -D%V)% (' k Y pC a l2. 1 styN_e
Street Addr@ss or Property Tax ID
SCANNED
BY
St. Lucie County
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.
CONTRACTOR S TURE (Qualifier)
PRINT NAM
a00!��r l
COUNTY CERTIFICATION NUMBER
State of Florida, County of s C:k e
The foregoing instrument was signed before me this dayof
,20k(L,by
s��vl"w`is p���erson```"`ally�y know. —,or has produced a
as identification.
a�/�� STAMP
Signature of Notary Public
T Iv.os M Y�o il'i t p�
Print Namc of otary Public
Notary Public State of Florida
�a A Thomasina Bowins
MY commission G6•' Expires 03/29/2022 201733
Revised I I/I62016 orp
<:Z_�
249
SUB-CONTRACA1iRSIGNAT M (Qualifier)
PRINT NAME
Q-137k1
COUNTY CERTIFICATION NUMBER
State of Florida, County of C
& tr�tu e.
Three foregoing instrument was signed before me this QLO day of
&P D, 20A, by —If f 1' V �1V,� 1 X
who is personally knmvn,yior has produced a
as identification. y�
STAMP
Signature of Notary Public 4
Print Name of Notary Public
gysr V. Notary Public State of Florida
A Thomasina Bowins
+�IMP-
.(. My Commission GG 201733
ja M1d• Eapiresom=1 om
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