HomeMy WebLinkAboutSUBPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMTF
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Nartle/tndividual Narlle) F I
the JJ Sub -contractor for POD15 6N C7Yes>.
(Type of Trade) (Primary Contra tor)
For the project located at
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 SIC T (Qua! r
�Prr.l \w X
PRINT NAM
COUNTY CERTFFICATIONN NUMBER
State of Florida, County of 7\. `o l e.
The foregoing instrument was signed'LheforJe me th'i's` day of
�� 20_Aby 1 W,
who is personally known�or has produced a
as identification.
STAMP
Signature of Notary Pu lic
SO�YJr�ha -\C1r r N ram ye)
Print Name of Notary Public
P� Notary Pubbc Stale of Ronde
Sabrina M Arington
Revised 11/162016 �4w� 9eornrniwon GG 90!779
Expwas 08127r202d
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of C
A, L.%JCl e—
Theefcfopprego��ing instrument was signed before me this day of
200, byTf)1fJA WN
who is personally known X -or has producel.
as identification.
� 1 \ 1 z "//�J [��I
/ STAMP
Signature of NobeyyPuWc
sOIeD ma
Print Name of Notary Public
Notary Puha: Sul, of Floride
Sabrina M Arrington
a
My eomnamcn GG 90E779
Esgras 08/27/202]
5
SUB-CONTRACfOIt SI
TURE(Qualifier)
TcrfN \0"x
PRINT NAME
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of C
A, L.%JCl e—
Theefcfopprego��ing instrument was signed before me this day of
200, byTf)1fJA WN
who is personally known X -or has producel.
as identification.
� 1 \ 1 z "//�J [��I
/ STAMP
Signature of NobeyyPuWc
sOIeD ma
Print Name of Notary Public
Notary Puha: Sul, of Floride
Sabrina M Arrington
a
My eomnamcn GG 90E779
Esgras 08/27/202]
5
PERMIT # I I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
pot V 4 �c C�ca7)etc%Poberr Pct xU
' (Company
the C- (ce
(Type of T
AL
For the project loc4ted at
It is understood th
project, the Buildi
filing of a Change
a�'3 -2
Name)
have agreed to be
Sub -contractor for Pool S' 6 e G RC'
(Primary Con actor)
or Property Tm ID #)
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.
State of Florida, County o
Theforegoinginstrument as signed before me this Qday of
-0 10 , 20 by if f[4 \Q�x
who is personally known or has produced a
as identification.
STAMP
Print Name
PRINT NAME
COUNTY CERTIFICATION NUMBER
r . pp
State of Florida, County of )t LYl.
The foregoing instrument was
signedbefore meethis d2p— day of
21�Lby gJ& Kb(,fJ-Yy1
Av[,
who is personally known '�_ or has produced a
as identification.
lam' STAMP
Signature of Notary Public
� -M%MQ::5) 6 bni,_„O5
Print N� Notary Public
RME
ic State of Floridana 9dwinssion GG 2017339/2022
��
zoVe�a� Notary Public State oI Florida
A Thomasina Bowins
y `�' � • MY Commission GG 201733
'°9onoa<' Expire503/29/2022
Revised 11/162016
PRINT NAME
COUNTY CERTIFICATION NUMBER
r . pp
State of Florida, County of )t LYl.
The foregoing instrument was
signedbefore meethis d2p— day of
21�Lby gJ& Kb(,fJ-Yy1
Av[,
who is personally known '�_ or has produced a
as identification.
lam' STAMP
Signature of Notary Public
� -M%MQ::5) 6 bni,_„O5
Print N� Notary Public
RME
ic State of Floridana 9dwinssion GG 2017339/2022
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