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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division ;CANNED BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT + 1 " r"m Cnl mti , have agreed to be the a/ rim. ik A iL I N G Sub -contractor for (Type of Trade) 3U(g 3W-I 521Z (Primary Contractor) 37-1 0 3z1 For the project located at 32-16 3zaj 3Zt5 S LWAUtwCA wLtj ka(-i ' p (Project Street Address or property Tax ID #) ? +f gy 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 Su ntr or notice. )a q. C - 11 CO RACTOR SIGNATORE (Qoa er) tBapwoct3 L. (ae�ps©I.s PRINT NAME COUNTT CERTIFICATION NUMBER State ofHorida, County ofjj3dlQ ✓1 Klz .tom The foregoing Instrument ttlwas signed before me this+16� day of ` 20L,11y l 1V1 `` C >JQn who Is p knowv or hes produced e as Identification. J�101.k RC �/1.Ln In STAMP "Sidoatare of Notary $gbdc - - Print Name of Notary Public %f- c� JOLENE K. SOUTHWICK i �(_j(�A ,1:1 MY COMMISSION #FF079740 ¢9 e Revised Il/1620I6 ?"����EXPIRES December 29, 2017 �orn� (407) 398-0153 FloddallotarySemice.com COUNTY CERTincATION NUMBER State of Florida, Couaty, of The foregoing Instrument was signed berom me this Ad— day of M J9"� 2012by L E66Z Z Z'Z/ !) who is pereonany Imown X—or has produced a aside tiaatioo. a°A;•'!.ke GLENNIRDITI AN MY COMMISSION # FF 0168 �+ EXPIRES: October 1, 2019 6IDm8udid 0U ySeniV� S taM fN, rypuhiu 12em Ro - MCL1). Print Name of Notary PubOc PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division OL�� ED BUELDING PETSUB-CONTRACTOR AGREEMENT It 1IIr,1aCnitnty have agreed to be (Company NameJindividual Name) the tCk ; Sub -contractor for V � ('_AA —'kv0i(:e5 C-raq (Type of Trade) 3 Z0lo 32o7 3211. (Primary Con ctor) 32.1t 3z)S r� L For the project located at 3ZIb 3ZcI 32i5 S•�-bv&otw (!AaAt `1. C1tfzc4,P (Project Street Address or Property Tax ID #) 314 941 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 77 actor notice. COyN�,TRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMER State of Florida, County of IfACU >71'�- State of Florida, County of�r t% up-r 8125- The foregoing instrument was signed before me this 16 day of The foregoing instrument was signed before me this day of who Is Wally hnowo _or bos produced a who is personany (mown or bas produced e as ideotificatlO �1 STAMP STAMP Signatu bf oL PublibU c ;�°`,'"- - •��..: JOLENE K. SOUTHWICK _•� MY COMMISSION#FF079740 Revised 11116=16 EXPIRES December 29, 2017 (407) 398-0153 FloridallotaryService.com L MCLI- +oyi Public Ekww I„ Moulton NOTARYPUBUC PSTATE OF FLORIDA Ca w* FF976M EA*w3129=M