HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT M I� D 3- b 3 73 ISSUE DATE
COUNTY
F L D R I D A
the
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for / ( r G%t 0 a t 1. Qay (S Cyrto t. C e-7'P
(Primary Contractor)
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.
CONTRA ORIGNA (Qualifier)
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PRINT NAA E
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COUNTY CERTIFICATION NUMBER
Stare of Florida. Countyof'th'�.:--�.
The (ongoing instrument was si-gn-ed�.before me IhIsZ.V day of
who is personally known _or has produced a
as identification.
w 1�•�.`.-• :-i..c_ �i.tr..+, STAMP
Signature of Notary Public
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Print Name orNotary Pubii DEaRA K EBNER
.� Notary Public - Stale 01 Florida
�1; •- Commission # GG 097893
i %.g.= My Comm Eapites Nov 15. 2020
"•. ";,;� °'• Bondedlhmugh National Naluy Assn
Revised 1/16/2016
Z//CONTRAC.TOR SIGNATURE (Quatiner)
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PRINT NAME
ea.2 9 y 1 ,
COUNTY CERTIFICATION NUMBER
"
State of Florida, Counlyor ST Lw-
The foregoing instrument was signed before me this ��day of
"IvLy. .Iadby
who is personally known _or has produced a
ms Idc17sIAmrion.
na of Nowry Pubic
lZobez A' 1' _
Print Name of Notary Public
STAMP
ROGER A. PRIEST
Notary P9011C - Slate of Florida
if p•
3 ' .
Commission I GG o10740
e
A1y Comm. Eapint Nov 7, 2020
GonGd mrough Nationm NolaFAgo.
the
PERMITM s— (� 03 — 6373 ISEiUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
agreed to be
Sub -contractor for . e. q (7aVi3 e4sA,
(Primary Cuntactur)
Tt is understood that, if there is any change of status regarding our participation with the above mentioned
project, du: Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
co.TRAerol sL c ATI)TIF�IOuanner)
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PRINTP
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FJ
COUNTY CERTIFICATION NUMBER
stole orn.rida, Conorynr 54`t..,.,t�-A
Theforagoin instrument was s✓Aad before me tblsL'll dey of
Who Is personally known _!61 has Produced
m IdeodOeadon.
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SUBCONTRACTOR SIGNATURE IQmliner) �__--
Wn/{2, CAnnP-
PRrNTNAME
tog o
COUNTY CERTIFICATION NUMBER
J
State or Florida, County or _(7` UQ ,`T1�
The Foregoing Wtrumeat was stgod More mr this dry or
rI _20_by / /AQ(- cfsf
whnlapers Uyimawn�rhesprodueda
aeldmnnution.
kSTAMP �AG4� T STAMP
signature of Nobtry Public Stgaature or Notary Public
Print Name ofNemry Pabne 0E8RAREBNER '1 1nt Nemeorfiase
,� , s Noluy PahOg State of fiprld+; yICHELLE TRQ'RA
' , i Cotmnleslon N GO p078B0
SIFC. MY COMMISSION N G0055M
AA W My Comm. Eypaes Nov.15 :2020 EXPIRES OBoenlEer20, 2020
Revised 11/16/2016
PERMIT# 0 03 - 63T3 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) I
f�y �/tt e 1/1
the P"0ai64 Sub -contractor for �iCk&-'d /I, 10C.s 0'VfS 17 . t 're.
(Type of Trade (Primary Contractor)
For the project located at / 0 0
Street Address or
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.
CONTRACTORSIGNATURE (Qualifier) N111-CONY ACTOR SIGNATURE (Qualifier)
IGN TTURE(Qualifier)
IJdLtli IC11ti I oo t tS
PRINT N,\ sIF.�— PRINT Na tE
82.t5
COUNTY CERTIFICATION NUMBER
State of Florida, County of, ls� t->A- .1-0—
The foregoing instrument was signed before me this
r\Wda)• of
who is personally known ''or has produced a
as identification.
'S �ky.-t— ' STAMP
of Notary Public
COUNTY CERTIFICATION NUMBER
State of Florida, County of
F...v—
The foregoing instrument was signed before me thix2'doy of
—S� ot9,bs/—� \c �viS
who is personally known -- fir has produced a
as identification. 1/
STAMP
Signature of Notary Public
CEBRA K EBNER
Print Name of Notary Public b%y Notary Puh!iC • StalG e of F!o"r Print Name of NotaryPublic
+ ; Commission rf GOa?953
tr a; My Comm Expires Nov 15, 202i t
%°Lt�4''• BondedmmuOnNauona:Nu! c,
Revised 111160H6