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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTrERMIT ISSUE DATE PLANNING & DEVELOPNWNT SERVICES Building & Code Compliance Division 0 BUILDING PERMIT SCANNED SUBCONTRACTOR AGREEMENT BY - - St. Lucie County OQ) 5 l Lr- /�L ('j P.�'7 .1 have agreed to be (Company Name/Individual Name) the IA-� [Ac Sub -contractor for Lee Nelson Building Contractor Inc. (Type of Trade) (Primary Contractor) For the project located at 8575 S. Fed. Hwy. Pt. St. Lucie, FL 34952 (Project Street Address or Property Tau 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) L-� Y� a! G,rJ PRINT NAME �c�29�9 COUNTY CERTIFICATION NUMBER State of Florida, County olr The foregoing instrument was signed before me this day of ©Lr,{-e5b0-✓ ,20l l by L-Pe �JeXSon who is personally known L'*'or has produced a rW 02 r Gfrc �.0 SUB -CONTRACTORS PINATURE(Qualif ) 7t1"-7 A/�2OJNC, PRINT NAME l '"qeoa.!5 jQlo. rgD�lo`l ) COUNTY CERTIFICATION NUMBER State of Florida, County of tiIA2fWIJ The foregoing instrument was signed before me this I(P . day of aeleaOF� .2011 ,/bj1 17EMt,4ts 14AQ. ENA who is personally known ✓ or has produced a as identification. • as identification. TAM AINFIM J" / t,L(a", 'A . STAMP Signature oflaary Public NOTARYPUSUC Signature of Notary Public STATE of FLORIoA NICKIE 0. BROWN � a.w� camtnNFF133TB0 N,te�1E 'G, $s2oW ,, r,..,,,.,,, Print Name I'No ry Public EV111" 8/18I20'18 Print Name of Notary Public ea �ot4--Wary Public - Stale o1 Florida Commission N FF 909516 %,:= My Comm. Expires Sep 1, 2019 '•mau'• Bolded through National NalaryAW Revised I1/162016 the FERMH:� ISSUE DATE (Type PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ItG %G IA ade agreed to be Name) ' Sub -contractor for Lee Nelson Building Contractor Inc. (Primary Contractor) For the project located at 8575 S. Fed. Hwy. Pt. St. Lucie, FL 34952 (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 Ch ge of Sub -contractor notice. —7, 4��( CONTRACTOR SIGNATURE (Qualifier) LE,—Q (5-,Dt,� PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Countyof t'txAi\aM '' ]T� The foregoing instrument was signed before me this day of (DAobe✓ 20D,by Lee Pe,'Son who is personally knownV or has produced a rw ma� as identification. TAMMY BOTTELMAN 409416 tpBBUC Signature of o ary Public STATE OF FLORIDA ,(�, MComfn#FF133780 'a o�rvlaE>cpl(es 81182018 Print Name of NotbryPublic Revised 11/162016 4CFG142.)(0.601 /#� IZ50 COUNTY CERTIFICATIONFER /) State of Florida, Counly of V The foregoing instrument was signed before me this � day of CDoo G, 20_nby;F .� ,- Ayril, who is personally knownv_." or has produced a as identification. Yn// STAMP Signam—re-61 Notary Public —% o fP4"'o DEBRA V PROULX Print Name of No - G051451 EXPIRES November 30, 2020 PERMIT # ISSUE DATE IM' (_F+ lid.f R I Sa PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUrLDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be the E(,15:G7-R/C.4 Sub -contractor for Lee Nelson Building Contractor Inc. (Type of Trade) (Primary Contractor) For the project located at 8575 S. Fed. Hwy. Pt. St. Lucie, FL 34952 (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) LEt=�E�Q PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of��M The foregoing instrument was signed before me this 10 dayof (D- 01Dff .20 by Lee K)eASdA who is personally known L-lor has produced a Yl, 0 "Z as identification. Si� o Print N Revised 11/16/2016 SUB- CTOR SIGNATURE (Qualifier) I[e925E "g(_acr10 PRINT NAME COUNTY CERTIFICATION NUMBER n�1 State of Florida, County of aI.M �! C i The foregoing instrument was signed before me this � day of OCN�fR 20�11'6y :5SFFE2Y R. M-.1.1)RtnM who is personally known V_�or has produced a (10 V1 - as identification. TAVfgAOTTELMAN ��� � gµf,a — STAMP NOTARY PUBLIC Signature of Notally Public STATE OF FLORIDA C0mtn#_FF133780 E)qAFMW'0l"'0 Print Name of Notary Public. •• CATNSYN J. 6ENNk 1 f Notuy Public -State of Flotilla t, e Ny Cantu. El4dnll May 12, 201 a ComlelO101i fF122515 Baqul fttaldl NNlailY liAW Aun.