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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# J o) i q of WISSUE DATE "I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT BY St. Lucie C010' have agreed to be For the project located at 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 Ch ge Sub -contractor notice. CO _y OR SIG ATTURRl(QCalfier) CONLVCTOR SIC ATURE(Qualifier) S-�� °� r . J"� I �Z UI CTk llcly (�lJ • /%%; Z �,e/l .R.RINTWAME"`" PRINT NAME 0&6 0)yjr COUNTY Y CERTIFICATION NUMBER State of Florida, County of ?he.f. oregoingist! 3 ument was signed before me thisday of 204 by personally known _or has produced a •Z/ (� A as identification. AMP Sigaatureo otar blic 4;4�� (— tN mota Public— Print ef o?�X Revised 11/16/2016 'M'• °"• AUDREYB. HUMPHREY 2 e +c M1' EXPIRES: SION YFF 174772 2019 EXPIRES: March 6, 2019 Bonded Tbru bbhry Public Undewrders COUNTY CERTIFICATION ER State of Florida, County of ''''�nn�II T eforegoing Instrument �e by was sig��jbefore me thisay of C who is personally known _or has produced a 1 ,L as identification. STAMP o ^"ANGELA M HUFF � � tPAY OyB i� ;e°, ; K; Notary Public -State of Flerlda • ' : ` Commission # FF 234730 %;, p My Comm. Expires May 21, 2019 ''%'r,�M° Bonded through National Notary Assn. ' PERMIT # 1 n 0 ) - O ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name) the For the project located at c/ BUILDING PERMIT °('HNNFp SUB -CONTRACTOR AGREEMENT It ay Lucie Countv /uP14,4 have agreed to be Sub -contractor for '5tyt� -2_1z z 9' S c 'P�, Zv (Prim) 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. filing of a Chang%f Sub -contractor notice. CCTC oIV6 COUNTY CERTIFICAT[ON U E Slate of Florida, County of _a4 c foregoing Instrument was signed before me this / day of 200y�� o is personally known _or has produced as identification. AME Signature of Nota blic ((((((////// Print Nameo Notary" lic ............ AUDBEYB.HUMPHREY N1Y COIAMISSION S FF 174772 r Revised 11/162016'd EXPIRES: March 6, 2019 -' Bonded Tluu NotagPuWk Undenniters advised pursuant to the Dw\ L_ W CanA a PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County 00-t k -1 '1 1 C I ` 4 The foregoing instrument was signed before me this day of t�1CrC-cam 201�+by fJ611� who is personally known s produced a as' brie n. Sign ture of Notary Public MC Print Name of Notary Public , %di.11!/t, CommisGs on 'p Oft ?� F�gittes: November 19, 2019 Bonded thru Aaron No>a�! STAMP PERMIT# 11761 I) �Sl SUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SCAMNED SUB -CONTRACTOR AGREEMENT By St. Lucre County L C have agreed to be (Company Name/Individual Name) � I the %= �� r /- it Sub -contractor for 4" ti^� (Type of Trade) (Primary Contractor) For the project located at 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 PRINT NAM CGCU notice. COUNTY CERTIFICATION NUMBER State of Florida, County ofLa o Theforegoinginstrumentwas signed before me WV221 day of .20� by J�At, who is personally known or has produced a �as Identification. f\�; � _ i_O�->�CY STAMP rgna ure of Notary Public Print Name of Notary Public ",.,..- LASHAHNA INGMFA Notary Public - State of Florida Dec 20. 2018 - + _ `a My Comm. Expires # FF 177249 3m PF' °6%0 Commission through Nation Revised 11/162016 ;n�• Bonded SUB -CONTRACTOR SIGNATURE (Qualifier) ^7ID / PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of:Q• The foregoing instrument was signed before me thiss day of ONW01— , 2fi'1 by l r rvrn�_ who is personally (mown or has produced a 4A" identification. �'•' \ `�Y STAMP Sig ature of Notary PubB n�Neu ern= Notary PublicNState oAf MFlbrlda Print Name of Notary P/ibltP', .�; • E My Comm. Expires Dec 20, 2018 -=;�,Fol 1oF Commission # FF 177249 F Banded Through Nallonal Notary Assn.