HomeMy WebLinkAboutSub agreementsPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
00 1 `� G r have agreed to be
(Company N e/Indivtdual Na e) /� r�•
the Sub -contractor for POnls 6N
(Type of Trade) (Primary Contra tor)
For the project located at
(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 SIGNAT LRE (Qualm
W'
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. LJC-1 e.
The foregoing instrument was signed before me this 9-- day of
201Q by
who is personally known _or has produced a 0
as identification.
SN i�b
Signature of Nota ublic
k�\Cx x f��am n
Print Name of Notary Public T
9 n n,r.l LA
Q�.
SUB -CONTRACTOR S G TURE (Q ■lifter)
TLrr
PRINT NAME
017, 3-:k (
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of �jt. Lk'4 C -
The foregoing instrument was signed before me this —U—day of
) A M , 207{ by
who is personally known _or has produced a
as identification.
STAMP ^A
Signature of Notary Pr
�Sox)l � `-2 Mfr 1� n
Print Name of Notary Public
�,,A' Notary Pubhc Stara d Fbru4
Revised 11/161.2016 Sabrina M Arrington
My Gonwruaagn rao W8279
�iy wdR Expres 0!1210023
R
Notary Pudic State d Fluga
a Sabnna M Arrington
Ex res W2 12rnlss� 23 a0a2lg
Espres OG2]12023
STAMP
5
PERMIT #
E e
(Company N ellnd
the L6a7-etc
(Type of Tra T
)
For the project loc ted at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r r 1'a y u k
have agreed to be
A L W _ y Sub -contractor for )000) .Q 6 � lj 2 eg 3 _TAC'_
(Primary Contfacwr) c�
It is understood
project, the
filing of a Change
aR,3-2
State of Florida, County
The foregoing instrument
who is personally known
as identification.
Revised 11/162016
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
notice.
/ 98yy
COUNTY CERTIFICATION NUMBER
JT U 1({ State of Florida, County of
as signed before me this day of The foregoingl ne
foregoing instrument was sd before me this -ITday of
by vs1 W J � k ,209k byy1\uft 95 L
for has produced a who is personally known Yl- or has produced a
as identification. �( ���.-
STAMP 1i V. ( . STAMP
Signature of Notary Public
P -W\yma5,y-6- - m)Mt
Print Name of Notary Public
M
ys °us
n`;
Notary Public State of Flon da
Bowins
+
A Thomasina
My Commission GG 201733
03/29/2022
A Thnntasina Bowins
Expires
M
.v Public Siete of Florida
orfs
a.f
A Thnntasina Bowins
_
r
s"e Commission GG 201733
.,
F—r—x,3129/2022
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