HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT RECEI 18"
SCANNEOUB-CONTRACTOR AGREEMENT
BY NOV 08
2019
St. Lucie County ST. Lucie Coun ty, Perm
POO)S bA C242N�
(Company 7 a e/Indivi al Name)
the 'P I U Irb I a
(Type of Trad e)
For the project loco ted at �`-L
(Project
T"'wv W I
have agreed to be
Sub -contractor for Po C S h y In k e y
(Primary Contra tore
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Buildi g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Changeif Sub -contractor notice.
SUB -CONTRA SIGNAT (Qualifier)
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PRINT NANW
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NUMBER
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COUNTY CERT ICATION NUMBER
COUNTY CERTIFICATION
State of Florida, County o!51
1A C
State of Florida, County of "AUqut
The foregoing instrument i
ras signed before me this 9, � day of
a 1 day of
The foregoing instrument was signed before m'e1
C) U , 20
by l X t"�
\this
, 20 Lei, by Tln 1 L A W M
who is personally known
or has prod` ced a
who is personally known �or has produced a
as identification.
as identification..
STAMP
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_/ STAMP
Signature of Notary Public
Signature of Notary Public
ATfthom)),raPr
is
1 hmw1�51h0`'�
Print Name of Notary Public
Print Name of Notary Publ
^oe Notary Public $tale of Florida
>o
Revised I I/162016
�� A Thomaslna Bowins f
ee My Commission GG 201733
S`��k' - Notary public State of Floritla
$. A Thomasina Bowins
nr hd+ Expires 03/29/2022 Z
My Commission GG 201733
��.
C nd� Ezpires 03/29/2022
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PERMIT# I I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division r
BUILDING PERMIT NOV 0 8 019
SUB -CONTRACTOR AGREEMENT
[ST. Lucie County, permitting
SCANNED
BY
Pa C EeT21c ,egber7- Pa yu k St.
1 have agreed to be
(Company NE me/Individual Name)
the f i E e % e IC A L— Sub -contractor for 100dl3 6V
(Type of Tra e) (Primary Contfactor)
For the project loc ted at 551LA !pYuD D
(Project Street Address or Property Tax ID #)
It is understood th
project, the Buildi
filing of a Change
L-2k'37
State of Florida, County
The
(�foregoing instrumen
who is personally known
as identification.
Revised 11/16/2016
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.
assigned before me this day of
brT�1'Y �L1C
_or has produced a
/ 98 y9
COUNTY CERTIFICATION NUMBER
State of Florida, County of V
Theforegoinginstrument was signed before meetthisa1 day of
bur 20��, by im1A a4A who is personally known -)(-or has produced a
as identification.
STAMP
Signature of Notary Public
lYlS
i�tN�
^a'V'� eof Notary Public
M
_
Notary Public State of Florida
So �Z Notary Public State of Florida
A 7homasins SOWins
A Thomasina Bowins y
My Commission GG 2011733
Expires 0312912022
n = x* . < Myrommsion GG
a �` c. r°� Exo,res 03/29/2022 201733
,yQa
STAMP
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