HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTl3
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PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Btiilding & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
C Fe Tie
(Company NE me/Individi
fZ6e% tCAL
(Type ofTra e)
For the project loc
It is understood th
project, the Buildi
filing of a Change
C2�'37
State of Florida, County
The foregoing instrumen
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who is personally known
as identification.
Revised
at
�C.od er%- loot
have agreed to be
Sub-contractorfor l000lS' 6y PReq e t/ye
(Primary Contfactor�
Street Address or Property
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.
51 UALI4i
as signed before me thisia- day of
by -ll�lk
r has produced a
>tary Public State of Florida
Thomasina Bowins
y Commission GG 201733
spires 03/29/2022
STAMP
i98yF
COUNTY CERTIFICATION s�1 N,.DUMBER
State of Florida, County of J WG
The foregoing instrument was signed before me this _L day of
201a by fttJj 'Pr l t K
who is personally known )[ or his produced a
as identification.
— ' i � __4
Signature of Notary Public
nb�ffx�'wa
n�
Print Name of Notary Public
osar� -
A Nt"oPublic tale °Thmasn
rdeMyCmia8nwlns� PExprems20t733�w A s 03/29/2022
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St: Lucie County
e- r q \ w i X have agreed to be
(Company Nar4e/Individual Nartje) l• I
the n JJ Sub-contractorfor 90D1S hV 17Ye9. 1Y1C,
(Type of Trade) (Primary Contra tor)
For the project located at
Street Address or Property Tax
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.
CONTRACTO ATU (Qualifier)
�Prr�l W i X
PRINT NAME
kacn� l
COUNTY CERTIFICATION NUMBER
State of Florida, County of, L\lC-1 e
The foregoing instrument was signed before me this day of
who is personally known Vor has produced a
as identification. ��Jf. �(
—> 2 /
Signature of Notary Public
Tmwa5N1A 'bEww15
Print Name of Notary Public
}
Notary Public State o1 Florida
.
A Thomasina Bowins
ssY Commission
Revised 11/16/2016 ,d
GG 201733
? 'p, n'
Expires 03/29/2022
STAMP
SUB -CONTRACT IGNA RE (Qualifier)
l Lit
PRINT NAME
Q<&37�17(
COUNTY CERTIFICATION NUMBER
State of Florida, County of C
it,Ll.7Q Q,
The foregoing instrument was signed before me this day of
or zo_{byT�Yf , I)JiX
who is personally known or has produced a
as identification. 11�
STAMP
Signature of Notary Public
A `Mn110%V\ft
Print Name of Notary Public
ag�TOGpn Notary Public
Q-vt• A Tho taro
MY Comm asina 130wins
orn, Expires p ""'0 GG 201733
3/29/2022
9