HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I C%d-�# X2_ -n-1 PlIf / I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L
have agreed to be
(Company Nanle/Indiviidual Nattle) F l the UrV) Sub-contractorfor 'Pools 6V l/
TY(?9 16C.
(Type of Trade) (Primary Contra tor)
For the project located at ���R 5�1U UD��— bd
(Project 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.
CONTRACTOR S TURE (Quij ter)
_�_errl \N1 ?C
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'SA. We l e
The foregoing instrument was signed ,bef/W
before me t'h`is _ day of
Mu C,�n 200 by Jor
UI t l/Y �
who is personally known mar has produced a
STAMP
.Yt01b Nab sy Public State of Florida
Revised 11/1612016 ;p Sabrina M Arrington
+� My Communion GG 905279
40a Expxea 0M712023
SUB-CONTRACTO I NATURE Q alifier)
Ly�
PRINT NAME YY�I
Q9137k1
COUNTY CERTIFICATION NUMBER
State of Florida, County of C&, LlK1 e.
The foregoing instrument was signed before
lm1e,th`is day of
Moon n 20� by TH J(T� A l
who is personally known or has produced a
as identification.
Mom/
Y 1 ' 11 / STAMP
SignafuTe of Notary Public
����a it r ��lorti)Y1
Print Name of Notary Public
Eass,
Notary Public Stab of Florida
Sabrina M Arrington
My Commission GG 90a279 EXPRIS 09127=23
I
the
PERMIT #
14A C
(Company N
C- �ECl
(Type of Tra,
For the project
It is understood th
project, the Buildi
filing of a Change
State of Florida, County
The foregoing instrumen
=D`n 20Sr
who is personally known
as identification.
Revised 11/16/2016
I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e %2ic_1k&er-r loci vu
L
at
have agreed to be
Sub -contractor for Pooi &' 6 y i-TAe-.
(Primary Contfactor)
Street Address or Property
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
RE (Qualifier)
SUB -CON CT RS NATURE (Qualifier)
RAerT Pax t4k
PRINT NAME
i
/98y9
N NUMBER I
COUNTY CERTIFICATION NUMBER
i
�J ux ,��k
State of Florida, County of
as signed beforeme this`/ day of
foregoing instrument was signed before me this 1 day of
by �lr 1 \. W \x.
vThe
Ulea—1 �h 20� by "Ll
or has produced a
who is personally known or has produced e
as identification.
r— STAMP
=4 STAMP
Signature of Notary Public
t`ihfNtar
-
Print Name of Notary Public
Public
,to Notary Public St ate of Florida
A Thomasina Bowins
�: pp� MY Commission GG 207733 or no Expires 03/29/20 22
VY OOir
'3'
Notary Public State of Rondo
A Thomasina Bowins
My Commission
�� a
GG 201733
Expires 03/29/2022
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