HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
COUNTY.,
F
L
,O R
1- D A�,dvs
Wa-i'k-or
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the _LP��} n G Sub -contractor for 1)iFraACe5Co COAS+r>k,4-t&,%
(Type of Trade) (Primary Contractor)
For the project located at W -Goa ti L gases Lane (Po+'cel # 921S-80l-0d_+I.o09-�)
(Project Street Ad ress or roperty 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. A
'vz' 1, ,
CO. TRA OR SICNAT RERE{Qual SIGNATURE(Qualifer)
/ri rL In rK��)V"V�4.n cYS t'+ �llry ✓\. ` ppKaN`)
PRINT NAME - - - PRINT NAME
(lz9 00 3621
Q (o16+4
COUNTY CERTIFICATION NUMBER
- COUNTY CERTIFICATION NUMBER
State of Florida, County of
- State of Florida, County or S+• Lucie -
The foregoing Instrument wass igned before me this
day of The foregoing Instrument was signed before me this 2.12 day of
2%a, by M)U)Ae)
0DeCJ2Mbft-f_, 20A, by tit MtfS uC(f a,n
w o U personally (mown✓or has produced a
who is personally knmsn _V/_or has produced a
as Identification.
,
Signature of Notary u61ic
as idenlificalion.
STAMP
gmuurc of Nora 11lic
Print Name ol Notary Public Print Name of Notary Public
DAVID JURKfEWIC2
AUDREY B. HUMPHREY ° ' - MY COMMISSION # FF898909
i?'
r ;T=� p« MY COMMISSION #GG 300817 7?„a:;,:` EXPIRES June 05, 2020
Revised 11/162016 >;._G;xa: EXPIRES: Match 6.2023 Norl ]sentn Fbrasrcourysarv¢a.rom
'-.Ya+�•�. BID +ded Thni Notary Nb.ic Undeiwritets
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the p I• V,, i roc Sub -contractor for 'D /f—r.17Ces w C nsa)z � ;Pr
(Types e )o of Trod (Primary Contractor)
For the project located at 1 %o I -rm ,uv,a.'r/ 9 "r
(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 SIGNATIRE (Qualifier)
ft-"fJrvL pwfz, c'Sw
PRINT NAME
& 24/1d ?&21
Stale of Florida, County
foregoing instnurrent was signed beforem�
l�e this �iiJJd:
20ap by rn I "T� 6�11)e
W. is persormfiy knownz_,�or has produced a
as identification.
O
r
C�
Sigrra ure o otaq P rbhc
Prinf Name o otnry hae
'IJ Q• '6�
SUB40ONTRACTOR SIGNATURE (Qualifier)
�ra M L IrCG(Jati•
PRINT NAME
erc rya SG S %
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instr urnent was signed before me this day of
i sco Ul Du,261g by A�'c� �dcc�
who Is personally (mown _or tras produced a
s identification.
STAMP �'o
Signature of N tary Public
y
ar^7.!¢ AUDREYB.HUMPHREY
MY COMMISSION#GG 300817
EXPIRES: March 6, 2023
Revised 11/16/2016 (J�`' :FoYi���` Ucnded Thou Notary Public Undervnitcr•
LS-\�1Sbn..rvSiSY��'-�
Print Name of Notary Public
.Ni'C?;; ••..`..._.... IANYA NEVILLE
MY COMMISSION # GG 25M
'.i' 'cf Rff D^: ",tober 12.2022
iF.....�c;•
UadEMTllefb
STAMP
r
CouNTy..
• F, L ,o R , 1
lac _
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the—n Ctni1 -% ..._....I
( I YPC of Trade) Sub contractor for
For the project located at /gGQ / j
•(Project Street
have agreed to be
• 3f�%
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 pl:rsuant to the
filing of a Change of Sub -contractor notice.
Co RACfOR SIGNATURE (Qualifier)
12 J r-,Lr •L crsto
PRINT NAME
B
/P
SUCONTRACTOTO
R SIGNATURE (QunL•fier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
COIINTV Stake of Fiorillo, County of
1CAT10NNUMBER of -
State ofFlorida, County orrQ-ZA,-e,.--
going Instrument was signed before me od, day of
The foregoing instrument Ives algned before ne Ihi
2Q2pby dnyof
�► e'u�=, 20a, byes•
wh s personalty 1[nowa/or Ma produced a
—� who crsonelly kno rhas produced a ns idenNfieetfoo.
as Identi ientlom
urco Nota bile , AMP
Slgnature or Notary Public STAMP
Print Name O. vary robot / �L[C77/7
Print Name ofNolary Publi, L/
"T"i AUDREY B. HUMPHREY REM
ON7ENEGRO`•`� SIONSGG089099Revised 11/162016 ,; MY COMMISSIONS GG 300817
EXPIRES: March6,2023S:Apd12,2021 ryPat,rc UndttxMHg
•"°'•o�(�S''� Dom ed Thru Notary Pu6FC Undervrtiters i
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the [ZOyFr a 6� Sub -contractor for —J)iN4N n C d id 5jy- sr 24U
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Addres$'br Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
-71
CONTRACTOR SIGNATURE (Qualifier) U&CON RA OR SI
PRINT NAME
fZ33100G'431
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foreg`loin/g instrument
/^was signed before me this LIL day of
�V , 26 1-1, by
who' personally known or has produced a
STL--de1j CAS-L-06--)GA aew
PRINT NAME
1 O£sz"1 C'Cu03-9-9--73
COUNTY CERTIFICATION NUMBER
State of Florida, County of -d;)r. LJ c:s�-
The foregoing instrument was signed before me this day of
wloJ 20%%,by SktJev. 'W i
who is personally known or has produced a 'FL I1 L-
as identification.
STAMP
Signature of Notary P4blic
to h V\4 (:;:% �
Print Name of Notary Public
3%t`'e"w=$• OEANNAMARIEGNEIxS
;r ,r MY COMMISSION N GG 0220:3 1�
,.o EXPIRES: Umrnbar 16, 202.0 I
9ondedThm Notary PuNlc Ondenvdio:s Ij
l!