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HomeMy WebLinkAboutSUB CONTARCTOR AGREEMENTHE]: ISSUE DATE :..�_ PLANNING & DEVELOPMENT SERVICES Building &Code Compliance Division 0 o - -- BUILDING PERMIT SCANNED AGREEMENT BY St. Lucie County (Company Nanto/Individual Narne) the F L l g '1 c a L Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at (Project Street Address or Properly Tax ID #) 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. kz.�� CONTRACTOR IGNA URF. (Qualifier) SUn-CON' RAC R SICN.\'1 RE (Qualifier) m D PRINTI AME COUNTY CERTIFICATION NU 1 E5 State or Florida, Countyof C,(A t ftPoMtwJ PRINT NAhIE Z(.a1(4 COUNTY CERTIFICATION NUbIRER State of Florida, County of S (• L CA -c n The foregoing Instrument was signed before me this _-/dday oIf The foregoing instrument was signnesd1 before me this 1 0— day fir _, 2 9. by m ; %� /l.e J . /) i `F rt n [t �(' � _S&0er,OCY , 2oA by C�zf J� Ftt��Jt�cNt� who is pe.nu • Mown or has produced a who is personally lmo n r has produced a as identification. g�2.A' as idr tine lion.S'I'ANI STAMP natureofNotary ublir F Sib Lure of Namry Public /�11 �Li 6Jb� }ALL P�11� t �r,S�3•e l�raJti•Vy Print Name orRotary Pub c Print Name of Notary Public `N6;: AUDREY B. BUMPHREY I;3 5 • Notary Public State of Florida ` Q®� MYCOMMISSION#GG300817 !$ •. �$ •° EXPIRES: March fi, 2023 a ? Christine Craveiro Revised II/IG/201G ;.�A,`i�� My Commission GG355732 %foci;°• Bonded Thru Notary Public Undeiwiitors. �'Y' g Expires 07/152023 '?o, peF P' L� ,•ty r .. ;,, PLANNING & DEVELOPMENT SERVICES I RI,Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED BY St. Lucie County (3{^I sI f f A&-r /IA td it C vend '' Z0n Jl)e have agreed to be (Com lany, Name/Individug ame) the akaha ate-,la-1 Sub -contractor for. 1)/ rra n e -D (r peofTrade) (Primary Contractor) For the project located at 1 Ob (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 of Sub -contractor notice. CONTRACTOR SIGNATURE (QaflBacr) j_SU TRACTOR SIGNATURE (Qualifier) PRINTNAIME rr �5� �� er 4i . �,;n' peg, PRINT NAME COUNTVCERTIFICATIONNU IBER _ COUNTY CERTIFICATION NUMBER State of Ftorlds, County of State of Florldn, County of sr L -eel.e- The foregoing Instrument was signed before !,(m�e, ibis r` 'day off The fo ¢going instrument was signed before me tbai�. deny of ��y fasp i produced �V-A'8G�'fVG �,1 %,by �G1131/_ cF.(p r wbo ie erson own or has produced a who is personally knowoc—or has produced a as identification. �gnflhrc of Notary Publie STAMP •.:ct? AUDREYB.HUMPHREY MY COMMISSION #GG 300817 Revised I uw:l 16 iEXPIRES: March 6, 2023 Bonded llttu Notary Public Undemilars L u,orawawcassa+'•aa• Print Name of a IIErjS SUSAN MONTENEGRO MY COMMISSION#GG089099 j; e.` EXPIRES: April 2 2021 Sor"Thm NotalyPublic Untlnwtilers •L-SCOUNTY -- As PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BUILDING PERMIT BY SUIT -CONTRACTOR AGREEMENT St. Lucie County For the project located at 1 b(, n3 ' Pr,.,e 1,,Jte Arm . .S (Pbject Street Address or Property Tax ID #) It: is understood 1JAd; if there,is any change of status regarding our participation with the above mentioned. project, the Buylding and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Cha, gg of.Suh-contractor notice. _MF(Qq' C'ONTRACI'ORSiGNN.fI�1t��-(QvaBf!er). SUB •CONT 'I'ORSIGNATURE (Qualifier) PR NA6IE e N C-`C/ '(�• D��OC) Ing CyDUN-rY CERTIFICATION NUIIIBER.,"".::,•' COUNTY CERTIFICATION NUMBER State otFlorida ,.Countyor ��jj )) ��' •� . State of Florida, County of. ST •L4t?�tt..•.. L % The fo of Idstrdment "s signed before me tbts;1 da of - d•-� + reg W: I.•, • ga ' • Y The foregoing Instrument was signed before me this �� day of a�zol ,b, A AD(eV 1511VnLu who is persoasi , cc �.n has produced b who Is personally known or has produced as identiBeatilm , - a SIdEnd1c6tIon. STAMP Igoature of,N Panc +, + Pri ame of No Pubic Signature of iota Public 'STAMP 7 A-r�cUA .. PJ��: Print Name of No ryPubhc °oi�"Yoi;• AUDREYB.HUMPHREY MYCOMMISSIONkGG300817 EXPIRES: March 6, 2023 Reviscd11116R016 Public Underwriters 'Bonded 7II Notary TANYANEVIU E Mycom m$roMlcci25M pi EXPIRE9 Ofter12 =2 s `�'•,u:it?e BoldeditNaWVPuWUndw*an PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES RECEIVED Building & Code Compliance Division ® i BUILDING PERMIT ��� 1 9 SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting SCANNED BY St. Lucie County D; �Fr-zz,"s w (_ov,7 l MILL have agreed to be (Company Name/Individual Name) the Qbf' rVIG - Sub -contractor for D/(—r-4M Ur5 of (Type of Trade)' (Primary Contractor) For the project located at C rl f rl Z_r d l-f 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 of Sub -contractor notice. � 1 �� CONTRA�URE (Qualifier) h I'G �1� 0 PRINT NAME 2gq// COUNTY CERTIFICATION Q'UMBER� State of Florida, County of��,1 The foregoing instrument was signed before me this day of em d ee .20,0 by_����������� who is personally known Zor has produced a 4�' SUR-CONTRACTOR SIGNATURE (Qualifier) _OhfzU-_tl PRINT NAME COUNTY CERTIFICATION19ER State of Florida, County of NU 16 The foregoing instrument was signed before me this day of 20L-L' by who is personally known _or has produced a as identificatio . as identificatio �_— STAMP � / L STAMP ature of tary ubac' srgnAFU,. of u is Print Name of Notary Public ,,, KAREN S. NIELSEN ==o�� e�WsState of Florida -Notary Public Commission p GO 207484 My Commission Expires ?p WO' June 12, 2022 Revised 11/162016 Print Name of Notary Public KAREN S. NIELSEN State of Florida -Notary Public _ E Commission ri GG 207484 My Commission Expires 1 ( J PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED ONRU DING PERMF BY STIR-CnN ACTOR AGREEMENT St. Lucie County have amded to be (ComplName/Individual Name) the Z60 Sub ontractor for �)�N\FrA,, esw (Type of Trad (Primary Contractor) For the project located a b o t o a ed l e- ar�i- Pi (Project Street Address or troperty Tax ID #) It is understood that, if there is change of status garding our pard ' ation with the above mentioned project, the Building and Code Regul 'on Division f St. Lucie C ty will be advised pursuant to the filing of a Change of Sub -contractor notic . N COUNTY CERTIFICATION State of Florida, County of The foregoing instrument was signed 1. who is persQQQ���a y-Imo , by or' nss t as identification a Ok - day of STAMP AUDREYB.HUMPHREY AIYCOMMISSION#GG300617 a'• EXPIRES: at 6.2023 ?;oFv �o,,; P,onded Thtu Notary PublicU�ermilets Revised lln6no16 :-- 133o337 CUUNIY C ' 1'IF1CA'IJ4JN NUMBEK State of Florida, qunty ofl3t• The foregoing instrummee,,,,,rrrrttk�was signed before me this day of 20a\y L ` 1ho is personally ImowrY or s produced a STAMP Print Name of Notary Public MOVNIMNEGRONS W COMMISSION O C4 323420 EXPIRES:Apdi9.2W3 %'.',eo�M1o?•' Bonded Tlra Ndw Mile W& MiGete