HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building &Code Compliance Division RECEIVED
BUILDING PERMIT OCT 3 0 2019
aCANNtu SUB -CONTRACTOR AGREEMENT
BY ST. Lucie County, Permitting
St. Lucie Cow)!,
e
have agreed to be
(Company Nat4e/Individual Nat1�e) 11 l
the 'JJ Sub-contractorfor 9001S Gov Gyy.9 Ti-lC,
(Type of Trade) (Primary Contra tor)
For the project located at
or
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.
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C NTRACTOR G IATURE (Qu. rfier)
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PRINT NAMEr
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COUNTY CERTIFICATION NUMBER
State of Florida, County of E& LoGt e
The foregoing instrument was signed before me this day of
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who is personally known X—or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
dKr °tak
Notary Public State of Florida
A Thomasina Bowins
Revised Ib�o'
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My Commission GG 201733
Expires 03/29/2022
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SUB -CONTRACT 'IGNATU (Qualifier)
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PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of Sit. L06 Q-
The foregoing instrument was signed before methisday of
0n _, 20D, by IC1/U i%�
who is personally known )Lpr has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
y� r
�n ATho Public Stafe of Flonda
M masslo Bowlns
or p pCeS 312912022 201733
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�ANNEp BUILDING PERMIT RECEIVED
BY SUB -CONTRACTOR AGREEMENT
St. Lucie County OCT 3 0 2019
%� / D ST. Lucie County, Permitting
P AVkK q�EeTi )c1jjeOber* l Gt jlct lc have agreed to be
/ (Company Name/Individual Name) I the C- C IF Fe tC A L- Sub -contractor for _ 1006) 2 6 y /t? eq i .T/ye
(Type of Trade) (Primary Con actor)
For the project located at
(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 SIriU (Qusti e�
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PRINT NAM
a!�3 -21
COUNTY CERTIFICATION NUMBER
State of Florida, County of t.
The foregoing instrument was signed before me this day of
()a .2o_LAby_firiij1X
who is personally known _y__ or has produced a
as identification.
'^
Signature of Notary Public
STAMP
Print Name of Notary Public
°w; Notary Public State of Florida
°'' `* A Thornasina Bowins
Expires 0312912 ssian 22 201733
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Revised 11/16/2016
/ 94? 31F
COUNTY CERTIFICATION NUMBER
State of Florida, County of!IdAUe
The foregoing instrument was signed before 7l me tthiis� day of
C�7re20_A by IJU 1 Y lA4 U�
who is personally known _)�_or has produced a
as identification.
v
Signature of Notary Public
Print Name of Notary Public
c
N'ta`1' Public State of Florida
A Thnmasina 80wins
"e Commission GG 201733
Expires 03/29/2022
STAMP