HomeMy WebLinkAboutSub-Contractor Agreementf
1•
1�
PERMIT.#t ISSUE DATE
•
St Lucie County;ContractorC
B_`u ilding. & Code
State;oMari&.CeitiScahoniZ umbee(Ifuppticabta)
AULWIN4RERt1fIT
'ra,:aF IVN pg_p
APR 16 2020
Permitting Department
St. Lucie County, FL
Forilieproject Iocated at (�} 4 f- C y c.L i c9 �' L c✓T
It is undersfood,that if'there i's;any,,-;change ofstatus-regarding.oucparticipatioa-with the:ahove-mentioned
project„I•will.,immediaieiy,advise;the;B'uiidingand Zoning Department of -St. Lucie.County by_.'fi4g a•
Change of Subcontractor noifm.(Foim SLGCD)(i', ooa-ao)
BUSINESS, QUALIFIER. (Name of the Indiv_�dual shown on the=Contractor s Lieensg)
NOT ARRED°SIGNATURES.ARE' REQUIRED:
TM-FOREGQING INSTRUMENT WUSIGNED B_ E__FO'k9:F4KfHJK_LUDAIC.OF' � 0'Y 1' 2U 2D
MHO ISPERSONALLY;KNOWN_.'✓✓. OR,,HAS
PRODUCEDAS IDENTIFICATION,
(STAMPj:,
PERMIT# Z a ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division.
e
- BUILDING PERMIT
SUB•CONTRACT09 AGREEMENT
the
For the project located it
11: is understood that; iftheTels
Sub -contractor for ,
RECEIVED
FEB 19 2020
ST. Lucie County, Permitting
_'have:agreedto be
project, the Building and Code Regulation Division.ofSt. I ucie County will be advised pursue
filing of a Change of Sub-contractorniotice.
t to the
-v
PERMIT# 200j _. p.?Z o ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
For the project located
RECEIVED
FEB 19 2020
ST. Lucie County, Permitting
have agreed to be
It is understood that, if there is any change of status regdigpiaorntiwith the:above mentioned
project, the Building and,Code Regulation Division of St, Lucie County will be advised pursuant to.the
filing of a ChaXe of Sub -contractor notice.
CO Cr SIGNATURE (Quaal(lii�ner) - .. 'SUB-C OR'SIGN_ ApTURE (QoeHfler)
PRINTNAME- :. - .. - - "PRINITNAME ..
COUNTY CERTIFICATION NUMBER -... COUNTY .CERTIFlCATION.1S'U11feE ' .
State ofFlorlda, County of 12G Srahorilarida, County or
Theforegoisginstrumentwassigoed beforemethls day of The foregoinginstrumeut was signed before day of
2DdAA2off. by Ain to 20M m ' c7i i1a 44 VFjJ
who Is penooaily lusowa Z—or Eas produced e - - who Is persanalty 60". � orbas predated'a
... ..
t Idmtl6Wloo. I I P{ J
, STAMP
7ptore fFNotryPublic
Prin'tNumnonotlq0tiry%11.1c
Notary Puhlie stato of FWda
Jennifer M Richmond
a My Cemmission GG 294491
qa F�iiea 95212923
Revisedil/IGi1916
STAMP
pdr Nmery .m Stets of F1uAde
Jennifer M Richmond
a My Commiealon GG 294491
q4 ED*" 9Y212723
PERMIT # ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
FEB 19 2020
ST. Lucie County, Permitting
have agreed to be
iviauat Name) t,J r - - \ 1�- \,r,t
"V
Sub -contractor for � 1 W 1 �k& Yl l �'
(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 (,%flange of Sub -contractor notice.
(Qualifier)
ccc /SOS
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 a n 1 Vey,
The foregoing instrument was signed before me this V day of
1-tbruair zo2abyhtian e-eid
has produced a
State of Florida, County oft n d l asp. 2_1 v Z r
The foregoing instrument was signed before me this 19 day of
Fr_ by al M.obi�
who is personally (mown V1110" has produced a
as identtficapyn, I as identitlfatibn
STAMP
Signs h re of Notary Public Sig o nebfAotary Public
Kristin 1Cr(St-In Anderson
Print Name of Notary Public Print Name of Notary Public
ghw)
No" Public StateFlorida
Kristin Kyrie Anderson
Revised ll/16/2016 MyCommission(KG 915017
Stated Florida
Fxpim 01/21/2022
a
llonry Pubfie A%ftnd r FloridaKrlstln Kyrie AndersonMY Cammissln GG 015017 Expire► 01121PA22
STAMP