HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTIPERMIT;Y I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 J' Building & Code Compliance Division
•
e- -- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Compan3, NalneAndividual
the
(Typeol'Tradc)
For the project located
SCANNED
BY
St. Lucie Counttr
have agreed to be
_ Sub -contractor for 76� S1kTSo n� — /11dt3 1rti �1 i�'R r
(Primary Contractor) _
�. neecr, �;�,j: 17CA a.t�G,f F�
Address or Pro1Nnv Taz D NI
3Y9S 7
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 Chang of Sub -contractor notice.
C NATURE (Qua iReel
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PRINT NA.
COUNTY CERTIFICATION waiBER
Stow or Florida, County orjS4_._9u_c, e
rC
-rhe foregoing ins<rno¢nt xas sianetl befom we this n2 day of
.QeCC vas 6 Y-;20j J by T�j
who Is Pe Wuy known X_or has produced a
rry(as Identification.
sigh— tom or� aNotary Public
�dit,G.�c Ida �4
— — _ PnotjVamc of Notary Pobllt
�rxvn EDWARD KOTCH
a,�°s.; NotaryPublic-State of Florida
Commisslon F GG 113882
" My Comm.Eapiresen8,2021
Rev' L'' emdedWrx+pbNatloulNwxykm
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h
PRINT NAME
d3 57
COUNTY CERTIFICATION NUMBER
SlateofFToridu,C:oualyor5alys.�- bUGf:e_
The faregaiog [aswmcat was stgo bafore me this 7 day of
wbo B Pc -Holly kaarvo _or hn Produced a D L
itleatN lion.
SFANIP
si tareofNotary Public
Print Name of Notary Public
,+*•. WIWAMKAO8IN
f ; MMlyPudlc-Stat:aFlA.da
'• Commisslbne GG 132165
'.� MyComm.Erpim8eDlmit
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the
LPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
Och-y' 61 r" C Sub -contractor for
(Type of Trade)
For the project located at
(Project Street
or Property Tax ID
have agreed to be
—To v�s t�o r\
(Primary Contractor)
?1 �ll (M t, A- QOk� /Q on o L
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.
CO RAAC—TOR SIGNATURE (Qualifier) SUB O CTOR SIGNATL� \ (Qualifier)
—
1 �i� sac&s. Jam' O � dJ \ �t CAL
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S}• Lie--
The foregoing instrument was signed
before
me this
�21 day of
_VPC'cVh ,20-0by C n [t f�4T56f7
who is personally known Xor has produced a
as identification.
( STAMP
Signature of Notary Public
Print Name of Notary Public
,•••'.pv'r'y'•• EDWARDKOTCH
r8 z
Notary Public - State of Florida
i•: �•; Commission f GG 113882
My Comm. Expires Oct8,2021
' 11 ,. Bonded lhmughNaBonalNcuryAsm
Revised 11/16/2016
�lo�•
COUNTY CERTIFICATION NUMBER
R
3`1�rS�
State of Florida, County
K
The foregoing instrument was signed before me this,y day of
rh r r20A by iz4�011 pfW tAeX
who is personally known -Kor has produced a
as identification. ^^
bignature of Notary Public
kleick—
Print Name of Notary Public
•o�ii+�>o'"•: EDWARDKOTCH
�� Notary Public -State of Florida
s • - CommissionAGG 113882
%+�. Fr' MyComI. ErpiresOct8,2021
''.Ot F,•••' bondedlhrou ghNatioulNalaryAsyi,
STAMP