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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTti. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT QY St. Lucie County �G•y1df V�L have agreed to be (Corn any Name/Individual Name) the �� �g`�Sub-contractor for � I � �$ � � L a 5B o— (Type o �77'ra e) (Primary Contractor) p For the project located at "� O % dress or PC (Project Street Ad ress or rooertv 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. COSTRACTOR ,ram J`uCCa l%Y% PRINT NAME lac/(SW/9 COUNTY CERTIFICATION NUMBER State of Florida, County of "Cd--bJ\ The foregoing instrument was signed before me thisrM+` 0 day of DKffl�X . 20 19, by- 1 1 aCOY`(b who is personally known _or has produced a FL b 1 t+ .. ;A—flo—O..e STAMP ,'v BRITTANY A. HUBER ?.J s-r Notary Public -State of Florida Commission 0 GG 325682 My Comm. Expires May 14, 2023 Revised 111162016 Bonded through National Notary Assn. SU -CONTRACTOR SIGNATURE (Qualifier) 172+°wY'. &ce-u e,e� PRINT NAME COUNTY CERTIFICATION NUMBER, State of Florida, County of m- t n The foregoing instrument was signed before me this, L(/ aay ooff��f �f - - by LI IIA.t_�--5S LJDC - "trY who is personally known or has produced a FL - as identification. `���-�I-/I &J�%,, \J / N STAMP SigTture of Notary Public Print ame of Notary ublic BRITTANY A. HUBER +?�-.,:. �•_ Notary Public - Stale of Florida y Commission x GG 325i82 ?rW My Comm. Expires May 14, 2023 Banded through National Notary Assn. PERMIT# I Ir-1 I n_ h .n /— V I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RECEIVED BURDING PERMIT OCT 16 2019 SUB -CONTRACTOR AGREEMENT Permitting Department SCANNED St. Lucie county BY St. Lucie County XTREME ELECTRICAL SERVICES INC have agreed to be (Company Name/Individual Name) the tLtt; I K (Type Sub -contractor for TAYLOR MADE POOLS For the project located at 7807 BANYAN ST, FT PIERCE, FL (primary Contractor) 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 (Qualifier) T m T`GC�`CYe� P NAME Clot / S!S s / COUNTY CERTIFICATION NUMBER " State of Florida, County o d_ R;.(_1\ I,�- The foregoing instromentwas signed before me thi-7 ,�1'Way of who is personally knknowa�Tr has produced'a SUB -CONTRACTOR SIGNATURE (Qualifier) CHRIS RIENDEAU PRINT NAME EC13005450 COUNTY CERTIFICATION NUMBER State of Florida, County of Ma rot n The foregoing instrument was signed before Qme thi fa day of Ulyt 211 byL�rrS t`)p/1VQAt/ who is persons ly Imown� ' or has produud a - as identification" STAMP ,STAMP Si Notary Public n q• mG -. n i S b vj Print Name of Notary Public oteA; Pub K RWES.FUSCO. ?� c MY COMMISSION S GG021026 EXPIRES: Soptembar 17, 202a Revised 11/162016 %� ''i'ornaPe . mMalnmemgetaouysmtes +��tt ,eG KRISTINA MATHISON i°�eo NOW Public, State of Florida Commission# GG 32638 My comm. expires Sept. 26, 2019 1