HomeMy WebLinkAboutSub-Contractor Agreementthe
PERMIT # ISSUE DATE
of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Drnsion
RECEIVEaw
BUILDING PERMIT DEC 1 0 2019
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
have agreed to be
Name) 'n
Sub -contractor for M04al I5 WJ.(,W
(Primary Contractor)
' camt ,TL 3 � Rr/
(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 SIGNATURE lifier) SUB -CONTRACTOR SIGNATUBE (Qualifier)
P121
.(//NA�e6&'Q �IV�/E J G�/
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COUNTY CERTIFICATION NVMBER
State of Florida, County of CIE
The foregoing instrument was signed before me this, day of
_, zo/�; by miiYipi %J✓fill /SG'!�
who is personally known or has produced a �. L
PRINT NAME
r
COUNTY CERTIFICAT N IN whK
State of Florida, County o ?E
The foregoing instrument was signed before me this �� day of
who is personally known _or has produced.a
as identification. as identification.
ST.L�IP �I STAMP
ry S gna ure o NomPublic Signature of Notary Public
J`Fre'.
KAREN S. NIELSEN
Print Name of Notary Publorida-Notary Public
Commission # GG 207484
My Commission Expires
12, 2022
Revised 111W2016
Print Name of Notary Public
S. NIELSEN
ruers-State of Florda- Notary Public
- Commission # GG 207484
My Commission Expires
June 12. 2022
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT DEC 10 2019
ST. Lucie County, Permitting
M k VA t� K ft-pGZ1C q have agreed to be
ompany Nam ndividual Name)
1u nnn'
the l 1 YA �? Sub -contractor for eL u i
(type of Trade) (Primary Contractor)
For the project located at ! foJS ai 1edi 24. -TL A � `
(Project Street Address or Property Tax ID ff)
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 SIGNATURE lifier)
���G��
PRI NAME
COUNTYCERIU`ICA4LUNr4ER
yi
State of Florida, County of erCi
The foregoing instrument was signed before me this day oof
,2001 by
who is personally known _or has produced a /' L
as identification. 1
STAMP
�g..r. Public
KAREN S. NIELSEN
J av e4
Print Name of Notary Pub] ?: `o's oon0Notary Public
rl� Coomm mission # GG 207484
° My Commission Expires
...W, June 12, 2022
u,o
Revised 11/162016
6M
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
t / .
CO Y CERTIFICAT N
State of Florida, County o
The foregoing instrument was signed before me
ee7this L6_ day of
off ��
�,,,aby / / /fir/i/] &r/J��C2C1/
who is personally known or has produced a� 'D .
as id[
�J STAMP
Signature of Notary Public
Print Name of Notary Public
KAREN S. NIELSEN
��;State of Florida -Notary Public
Commission # GG 207484
J'r My Commission Expires
%,.°in"I June 12, 202E
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT DEC 10.2019
SUB -CONTRACTOR AGREEMENT
ST, Lucie County, Permitting
M R-P u_A � P�_ire"Ic..0 have agreed to be
�(Cnompan NameRndividual Name)', e l � A ,_,.,,on,
the / �-} ✓ 14% Sub -contractor for � ft��.E.t-�f
(Type ofTrad (Primary Contractor)
For the project located at ( 0_5 y\1i 94. 9)w er'EePtt/ -T�A � `
(Project Street Address o P orr perry Tax I
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.
CXA-
CONTRACTOR SIGNATURE Iifler)
P NAME
tell
COUNTYCERTIFICATION
n //yy
i
State of Florida, County of Git,
The foregoing instrument was signed before me this/0—day oo-f(�
_� .20/'7by fi'grfljS tar{{fY,GX:rl
who is personally known _or has produced a L L
as identification.
STAMP
S an ure of Nomry Public
o•`„.b';•.., KAREN S. NIELSEN
Print Name of Notary Pub l z§ �= a e o oricia-Notary Public
2• •'- Commission # GG 207484
s:, ,P y
M Commission Expires
`P June 12, 2022
Revised 11/16/2016
SUB -CONTRACTOR SIGAWTURE (Qualifier)
PRINT NAME
r
COUN0CVFRTIF1&CAZTV N r
State of Florida, County o �G
The foregoing instrument was signed before me this ML day of
, 20, by / / //�/�J�S del-7�f/
who is personally known or has produced a
as identification.
—I STAMP
Signature of Notary Public
Print Name of Notary Public
auo„ KAREN S. NIELSEN
,�a ""Y •eel;; State of Florida -Notary Public
Commission # GG 207484
My Commissio2n Expires
''•ruino� June 12,
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
COUNTY
BUILDING PERMIT [J�c 10 2019
SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting
M 6% �iiu d Q PA--pG;kCq have agreed to be
the �Name/In Ividual Name) n,1
d1 / / 4 Sub -contractor for Mee nn f 01 AeM-ETW_
(Type o Trade) (Primary Contractor)
For the project located at (p0_:T Pq Yx A 24
(Project Street Address or P p rtyTax IDS #)
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 SIGNATURE lifier)
P N NAME
COUNTY rE RTIFICAVON : DER
qq yyi
State of Florida, County of V /fi
The foregoing instrument was signed before me this day of(^
2017 by Mm-flI Arxozbl
who is personally known _or has produced a L
as identification.
7
STAMP
S goa ure of Nomry Public'
unq,
KAREN S. NIELSEN
Print Name of Notary Pub] lga14�\KZbTMOTN
orida-otary Public
Commission # GG 207484
Fo„",c My Commission Expires
June 12, 2022
Revised 11/162016
r'
SUB -CONTRACTOR SIGMTURE(Qualser)
PRINT NAME
COUNTY CERTIFICAT N E r /
State of Florida, County o ,X The foregoing instrument was signedbeforeme this / t
Q- day
/off
�, 2o��r
by / / /fiO%g_d�r
who is personally kuowa _or has produced a_
as identification.
—� STAMP
Sigoamre of Notary Public
Print Name of Notary Public
14!9--
N S.Florida-Notary Public
ssion # GG 207484
mmissio2n02x2Pires
une 12,