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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # % I U - � J Sr `7N ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT U-vu, o(-1& -.ve, C5k mac. SCANNED St. Lucie County have agreed to be (Company Name/Individual Name) j the %f 4' Au Sub -contractor for (Type of Trade) (Pn ryContractor) — V For the project located at 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. (Qualifier) 29 l to COUNTY CERTIFICATION NUMBER State of Florida, County ofzaAAZLI The foregoing instrument was signed before me thil��day of �K� .201, by who is personally known _or has produced a as identification. Zk.��n STAMP Signature of Notary Public myilf1/Lla/ f Print Name of Notary Public Revised 11/16/2016 l 6o h COUNTY CE TIFTCAT O�fl R �✓ State of Florida, County of ST. t F Ow 2 The foregoing instrument was signed before me this LQ__ day of `T,� . ,20n,by Y) C, , C FC10 who is personally known _or has produced a (' as identification. Signature of Notary Public f�/J� &)czd-ra,c. V 1 erg-, Print Name of Notary Public MEGE M. PIERRE .= MYCOMMISSION#GG318W �'o; EXPIRES:Apn72,2023 ••�9"fk°•�'• Bonded 7lwN oFaty Wh[c Undetwdteta STAMP a PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT the M C. c h 2 (Type of Trade) For the project located at have agreed to be 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 Chapge of Sub -contractor notice. PRINT -NAME _ N*n COUNT CERTIFICATION NUMBER < State of Florida, County of 6 L The foregoing instrument was signed before me this day of � 20_0by GhJI'+Vs'\ who is personally known has produced a as identification. aAAW �)' AnnLuw Signature of Notarli ublic V cak� �53 Print Name of N tary Public C/ SLiH'Ca CsT1lRsI_. NA,QTyy RE (Qualifier) PRINT NAME s 1� 14 ►4 - COUNTY CERTIFICATION NUMBER State of Florida, County of .,-%, ', ,fl' �1 C- The ,,,foregoing instrument was signed before me this ? r�dayrof who is personally known/ or has produced a as identification. STAMP _aA— STAMP Signature of Not 7 Public Print Name of Notary ota Public ; WCOMMISSSIION#GG300611 Af) EXPIRES: March 6, 2023 Revised 11/162016 Baldadthru Notary PuNn UtdtrvMlnta pIIDREYB.HUMPHRE`! dF' *:COMMISSION#GG30061T eA<q EXPIRES: Match 6, 2023 •�:?'oii�Y°`• 6oModlMlNolaly pubfxUnletrdlan ., PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be l.Vlll 4l 11M /111LLIVlUWV71V IG the Cc, ✓ i Sub- retractor for (Type of Trade) (Primary Contr� ractor)— 1 For the project located at (Project Street Address or Property TaY 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. SIGNhT,URE:(Quefifier) P A, VV COUNTY CERTIFICATION NUMBER State of Florida, County of , �� �r• The foregoing instrument was signed before me this day of 201& by 0 h a "_QI..�1 wioraown _or has produced a as identification. - (' ��"`�/N.�ILY STAMP SigSig r� lic U Print Name of Notary Pubr Revised 11/162016 SUB`-C CT-O"IGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER f' State of Florida, County of J+ - ) W C e— The foregoing instrument was signed before me this ) a day of zuLSby i� h d+ n c e 1_4'sV i vti6, wh s soaaBy Imowv _or has produced a as ide�ntifiAcatiioon. lmec SigMture of Notary V bac� FAME AUDREIB•�µPHRtti ti