HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
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(Type
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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For the project located at
Name)
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for Poch S by (n e? r�
(Primary Contra6tor)
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.
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CONTRACTOR SIGNAT Qualifier)
PRINT NAME E'
QF371
COUNTY CERTIFICATION NUMBER
State of Florida, County ofG(.(/
The foregoing instrument was signed before me this 1 .day of
�xp+:� 20_, by
who is personally known L or has produced a
F-110317
JAYME CHAVEZ
MY
COMMISSION # FF991925
;y
EXPIRES May 12, 2020
Revised 1116
(g07j 99a-0153
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SUB-CONTRACTVGNATURE ( ualiter)
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PRINT NA
COUNTY CERTIFICATION NUMBER
State of Florida, County of JT � (
The foregoing instrument was signed before me this U�day of
_, 20L9, by
who is personally known L-or'has produced a
N'•° JAYME CHAVEZ
- MY COMMISSION # FF991925
EXPIRES May 12, 2020
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Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pavkf EIea7efc/,eober- pa;
Name)
the t- t 6 a Fe tt A L-
(Type of Trade)
For the project located at
have agreed to be
Sub -contractor for lobo% �, 6 y G R!Z /
(Primary Con ctor)
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.
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CON'rRACI� O�3wI t N TUR � ualiner)
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PRINT N
COUNTY CERTIFICATION
cNUMBER
,
State of Florida, County of J /Wl /
The�ForeQgoi/ng/ in�strument�w/as signed before me this 01(�day of
20 1, �by /Dr✓%Ll t A(
who is personally known _or hash prodUCed a
Revised t 1/162016
SU OB- Grr"Cr"ifier)
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PRINT NAME
/98y
COUNTY CERTIFICATION NUMBER
State of Florida, County of -A t Lazo -
The foregoing instrument was signed bbefot1
, 20JI by
erre me this � day of
who is personally known known _Vr has produced a
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