HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT DEC 2 6 2019
ST. Lucie County, Permitting
Jc 1ih) "'V 's—fWi is have agreed to be
(Company N•aine/Individual Name)
the I Sub -contractor for
(Type of Trade)
For the project located at
0'— J d Tti W1
t'i
or Property Tax ID
(Primary Contractor)
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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.
�� / xie ��,7 IIf lder-
COUPTY C$HTIF[CAT N A MBE
State of Florida, County of IV
The foregoing instrument was si ned before ja this ay of
+J.pc - 120L,by
who is personally known or has produced a yyl.Jy
STAMP
KAREN S. NIELSEN
Print Name of Notary Publ
e' f�'---STSte
of Morida-Notary Public
-
Commission # GG 207484
aF'y
M Commission Expires
p
June 12, 2022
Revised 11/162016
SUB-CO 2A R SIGNATURE (Qualifier)
PRINT NAME
R'lone��JIi Ir► PY
COUNTY CE IFI ATION R
State of Florida, County of rl✓
The foregoing instrument �was signed before me thi y of
lee,, 201'1, bys
who is personally known _or has produced a MI)
as identification. _ A n
KAREN S. NIELSEN
Print Name of NotaryPub] ls�,d4,,,�state o onda-Notary Public
Commission # GG 207484
PS My Commission Expires
June 12, 2022
R ) 2-0�8q
PERMIT# ISSUE DATE
I
the
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
(Project Street Address or Property Tax )jb #)
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 Change of Sub -contractor notice.
Culln
CON�TFA R I NATURE (Qualifier)
v 1 l� A I ��: 54V,4 V
--AU '06 / /tJU dea
C Y RTIFI ATION U(V 111ER
State of Florida, County of
The foregoing instrument was si ned before me this y of
�enni
Dtwho is personally known or has produced a L
'AA/
SUB-C:UNCIOVRS G RE (Qualifier)
PRINT NAME
COUNTY C RTIFICATIONN NUMBER L
State offlorma—, qCopnty of lit. O 1
The foregm instrument was signed before me this I�� ��da�yl of
Jam, 20V, byS��fti,-Z` riseV'V 1,Q
who is personally known or has produced amt Z� L
as identification as identif n.
STAMP &Ll STAMP
Sig at a of ota y ublic vSignature of Notary Public
KAREN S. N I E L S E N
nintary Public
Pri f�7 muion 0 EGG 207484 11
'? a= My Commission Expires
Revised 11/16/2016
-1 mc.(r1'. L . ('14 gezory\
Print Name of Notary Pub rc 11
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