HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT-)�� ylct Ktqo-)d i 0 jql-
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PER�MIT4���� �ISSUe D�ATE���
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
St BY
ucie Cour
(reampany NameAndividual Name) /
the - .6—u k_q k rrt a - — Sub -contractor for
(Type of Trade)/
(Primary Contractor)
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For the project located atZ,�00 5 A'VO 6 - �3 Yq J-7
(Project Street Address or Property Tax ID #)
RECEIVED
NOV 2 0 2018
�T. Lucie County, Permitting
have agreed to be
It is understood t6at, 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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CONTRACTORST RE
PRINTNAME
CuP6 / 5 2 _Z -3
COUNTYCERTWICATION NUMBER
State of Florida, County of ucl E
The foregoing hurtrumentwas signed beforemethbij-3--daycif
N�LWCW0Qe-W' 20jf I byk
who is personally kno" —or has produced a F-L_J�s L_
as'dentifi thi
STAMP
a", orNotary Public
I- - 'P
Print Name of Notary Public
BRENDA LEE FLORES
I'p- Commission N FF 206852
My Commission Expires
1V
g.]Je3';WWMTW&2l6 June 15. 2019
SUB -CONTRACTOR SIGNATURE (Qualifier)
00
PRINT NAM I
C-FC- N2 q (6 Lf
COUNTY CERTIFICATION NUMBER
State offlorida, County or ST. LUC I
The faregoinglastrumeatwassigned befamme this 13 dayof
�Lvgmber zoAby �Pobn+ 90_a�rs
who Is personally kno" or has produced a F-L-ts I—
......... . B�RENDA LEE FLORES
mm "'a.
W-A
Commission # FF 206852
WM My Co miss 'o n E x Piro a
an
Ju e 15 0 1 9
y Commission Expires
June 15. 2019
IISSUE I
PLANNING & DEVELOPMENT
Building & Code Compliance Division
BUILDING PERMIT NOV 2 0 2018
SUB -CONTRACTOR AGREEMENT �T. Lucie County, Permitting
�I
/#�C— .5 &64� have agreed to be
(Company Nam;e/I
the. 4��ecAl. - I _ Znividual Name) Sub -contractor for eke've Y"-&)
(Type of Trade) (Primary Contractor) J —
For the project located at
/`-z' -'7
S-0-6 5 A-4 � �5 '1�5
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.
� 44daaw��
CONTRACTOR SIWATURE (Qualifleg'
J I -
A��4 /Mz"n Le�
PRINT NAME 6/
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing Instrument was si edbefore me this day of
�Ao'(-e,ioia" 20�1 b 1 10'0 -Q-< A 62mff's
who is personally known —or has produced a T--L—b C.—
My Commission Expires
June 15, 2019
Revised 11/16/2016
e'� S CONT CTO
X
PRINT NAME
lJroo
COUNTY CERTIFICATION NUMBER
State of Florida, County of '&7, cue_i�E
The foregoing instrument was signed before me this I?> dayof
16 (yik Vh �&2 V 20aby QkenV-1 WVk!C_C—
who is personally known —or has produced a '�-J J) \_
Public
INL91 G45mmissYdtr0'FF 206852
My Commission Expires
I I June 15. 2019