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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building &-Code Compliance Division BUILDING PERMIT SCBy SUB -CONTRACTOR AGREEMENT St Lucie Counts, GIL tv- �IrWc(i?h r— / have agreed to be (Company Name/Individual Name) the 6 t eC*rrL Sub -contractor for Dave Golden Homes (Type of Trade) (Primary Contractor) For the project located at Tree Top Trail , Tax ID 1418 214 0015 000 1 (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 Chan fSub-contractor notice. CONTRA S (Qua rfier) PRINT NAME ecz*r, 1-,76G COUNTY CERTIFICATION NUMBER r� n State of Florida, County of Is !� The foregoinginstrumentgqqpwas signed before me this /�9 dayof �tl 20by ��/r�-�//�% lDdlf. 1L who is personally known _or has produced a as STAMP V 11', Print Name of Notary Pub c .. AUDREY B. HUMPHREY •S' ;•"'GP"• Revised 11/162016 ';'�'' fit• A� MY COMMISSION # GG 3D03V 6, 2023 `'+.` EXPIRES: March Go';ad Thm Notary PublicUnd<_nvriter: ;< '6z, L SUB -CONTRACTOR -SIGNATURE (Qualifier) j Sf"b s PRINT NAME 3ct:D7( - COUNTY CERTIFICATION NUMBER State of Florida, County o[ ;� - LV Ct -C The foregoing instrument was signed before me this i 5 day of 0k.4-obt1 20t9by1N"-t-_1 , S%ubbS who is personally know~ or has produced a as identification. �Go n �xv s>�-4 Q"Q' C 4' STAMP Signature of otary Public 1­c6�Nr\C . Print Na fNotary Public EtNotary ry Public Stab of Florida Karyn G Drawdy My Commission GG 292565 Eapma a21112 21 F EIT# ISSUE DATE For the project located at PLANVI rNG & DEVELOP NT SERVICES Building & Code Compliance Division SIIILDINGPFIMI r SCANNED SUBCONTRACTOR AGREEMMU St- Lucie ucie Count, 7 r +a or -TCLX Ziti- tLl1 3- a-1y-0()1S 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 C e of Sub contractor notice. CONTAACCTOR SIGNATUR/E(alirier) PRINT NAMERU/6p% CZs 3�y� COUN CERTIFICATTON NUMBER State oFPlorida, County of Sr/ - The foregoing iastrunsat was Signed before me this Y/ d, yof by _ who it personotty known_or fins produced a �1,ucr� � , c L $UB-CON CrOR SIGNA uali0er) S�{--inn LUoi''cC,�E.t K� PRC.Z N iE ,301 LP -I COUWY CERTMrATION N-yUMBER State ofFlorids, County of -[. ✓ick i Gh P't We r ,,{{yy The foregoing instruuunt was sipped before the this �`r at OG 20114fb/y SAx�21'- i.Z-( is personally s Y or has produced as identification. RICHARD IUD Signature ofyYo PublicMISSION 0 t`aG089907 ExPiRES Apd 01, 202t c5p)Lz) fir' Richard A Newland Print Name of Notary Pabl / Print NameofNotasyPubtle •:"'..°'�� AUDREYB.HUMPF:T'' ,. MY COMMISSION#GE00617 Fr EXPIRES- March 6,.A28 Revised 21/I612016Fq . mdedlRMPUh5c'!n& ';kYS rro I I.WuEDAM' .. ..MG s r. t 4 Gi4 :fma 1 Ga'u ivy v SUSCOMMkictrORAMEEMENT SC NI ED St Lucie County € l a s Cal . r 1, tr have agrees be �(;p YiltUBi N@1IIEi 'I / /l 11 �J9Jtp1�i x4 '4 to A, the>a Sub co / rz °a! S {Type of hBdei (primary Conti / w o - 2 rY Tree Top Trail, Fort Pierce, FL 34961 -2;0 Forrthe project' located at Steaet Address or Prop�q' Tac II7#i A is t ud;jf there is anychsnge ofs ws regarding our participation with the above mentioned pinjeat; ifie tt fding and Code' Regulation Bivisioit of St. Lucie coarity wift be advised puravant w the KELLY A i3ILGMT AUDREY B. HUMPHREY i EXM" 0effimwr01, MY COMMISSION # GG 300817 RCiiWdUt6M16 °'a ae EXPIRES: March6,2023 I Bonded Thm Notary Public Underwriter:. ga3"axx i.�t PERMIT # ISSUE DATE the For the project located at PLANNING & DEVELOPMENT' SERVICES Building & Code Compliance Division BUMMING PERMIT SUS -CONTRACTOR AGREEMENT Sub -contractor for (Primary U/4� 00 o SCANNED BY $i• Lucie Count, 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 Cy4ge of Sub -contractor notice. FJ COUNTY CERTIFICATIONNUBIBER State of Florida, County Of The foregoing instrument was signed fore me this a day of 200,,by 1!0)'W (L�O/�h. SnB-CON7'RACTORSIGNATURE {Qaalifierj PRINT NAME C�(�� COL. L.CERTfFICATION NUMBER , State of Florida, County ofsg5 . Jam..« ctJ The foregoing instrument was signed before me this _ day of 20_, by who is personally known _or has produced a who is personally Imown.i,!Sr has produced a as ideutifieatiou. as ild"fification. -STAMP l .(.{Y%L�YICtiL T .GJti1/r S'1'AtviP Signature of N bPublic V Signature of Notary Palme It r � Nor Print jb - n of Not `r. AUDRUB HUP 'Y q PdY COMMIS "00817 sow Notate i�Wm9talnot FWraEn { ;�' AmandaF Sandersaq - ` EXPIRES: Mar 2023 a My Gommissioo.GG 2tt2s6_ Revised 11116/2016 1 F° "0' sonded Thm Notary ,-§iderwnters �tor*a� Erpuos tW/25120 -=7'4_