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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS' PERMIT# ISSUE DATE 1 _.._ PLANNING & DEVELOPMENT SERVICES '-T I Building &Code Compliance Division • r r-- BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT BY St. Lucie Countv have agreed to be (Corn any Name nfl_rn U---- na the 21 t C?I' j LI Sub -contractor for (Type of Trade) (PrimaryContractor) wr For the project located at 0:� �-1� - � DL • 0 i 4 % • (Project Street Address or Property Tax ID #) 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 N)a— notice. COBNTY CERTIFICATION NUMBER State of Florida, County of foregoing instrument was si tied before me thisLday of +2JJ, by kn 1 'e O1.1 (� 5 M w is personally known _or has produce as identification. / ®L STAMP Sigma tie o i lary u he �z1� Print Name of N tary Public %' Revised 'm'• z AUDREYB•HUMPHREY 17 YCOMMISSIOH# M MarchB,2o23 EXPIRES: 11116/2016 •<+rEa��e: BpTNu No121Y Pch0eUldeNdltels Wi COONTY CERTIFICATION N_� State of Florida, County of foregoing instrument was si before me this day of ' ^^ 20�, by zC 0 • I - ho is personally known _or has produced a � �C, as identification. ,.[,$yp� VL't `y Public J J U STAMP gtiature of o ary Public "`��� ��U Pirint Name of NotaVy Pu m AUDREY B. HUMPHREY „ MYcoMMISSION#GG300817 i.•o E)(PIRES: March 6, 2023 ,''Far i�?e' ggWed Thm Notary Public UndeA 3 ? the PERMIT # ISSUE DATE of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT BY St. Lucie County Sub -contractor for � �� Vim' � Vor'.-�• 1 Street Address or Property Tax ID #) Contractor) 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. rZ COUNTY CERTIFICATION State of Florida, County of Vl/ foregoing iastrumen11ttn was signed before me this 1� day of 20M, by h is personally known _or has produced a C 5TANIP 11 7 AUDREYB.HUMPHREY •ry Revised 11/162016.•' MYCOMMISSION i±GG 306617 " EXPIRES: March 6, 2023 odf;;°e'• Bonded1nbWNohWPubGcUnderxdteJ. W)j) Y COUrfY CERTIFICATION NU BE�'RF�"9'�" State or Florida, County of The foregoing instrument was signed before me this /, r Ally�oof,,�� 20A by 5E o is personally known or has produced a as ide ntification. STAaIP Signature of Notary F i is Print Name of Notary P111flic a�•srrrrta pYY •p p .;�: •••:�;;, AUDREYB.HUMPHREY MYCOMMISSION# GG 300817 ".;�,• ,P�` EXPIRES: March 6,2023 •.. oii:4•' Boadedlivul;nlaryPuhtie Undotmilera