HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTthe
PERMIT# o O-t;C)LI )H ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
III 2 St. Lucie County
Cl (� t \ (i�V l (/ 1i L h ve agreed to be
d Name)
Sub -contractor for �r 6`
(Primary Contract )
Z-)3 IU 2S ��' *eel J70r1' /'C/-cc
(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 SIGNATURE (Qualifier)
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PRINT NAME
COTJ VTY CERTIFICATION NUMBER
State of Florida, County offt- �' ;jk
The foregoing instrument was signed before me this day of
�qy� .2OL4, by f A1
who is personally known or has produced a
as identification.
STAMP
Signature of Notary Publ
Z)
Print Name of tarp c
DEMNA MARIE GIVENS
'f "-_
MY COMMISSION # GG 022023
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`
EXPIRES: December 16, 2020
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Bonded 4uu Notary Public Undewvdlam
Revised 11/162016
SUB -CONTRACTOR SIGNATURE (Qualls-J)
rIMojG w i LVl IV�I/C✓1
PRINT
NAME
COUNTY CERTIFIXIATION NUMBER
State of Florida, County of .LJc�&
The foregoing instrument was signed before me thtsa—S day of
S o.-L\ .20A,by F*wwc�tSd %Q'f`eZ
who is personally known _or has produced a F L 1%=
aass identification.
y STAMP
Signature of Notary Public
Q2o'11h+rHvo�-_
Print NamUIC --
$jq4 DEANNAMARIE GIVENS
MY COMMISSION # GG D22023
,r EXPIRES: December 16, 2020
t"? •' Bonded Thu Notary Public Undeaudtoo,