HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the �7 /eGiIT ) LA-X- Sub -contractor for
(Type of Trade)
For the project located at � VW
(Project Street
have agreed to be
(Primary Contractor)
I P111-ttr-2
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.
GNTRACrOR SrGNATURE (Qualifier)
PRINT NAME
N JA-
COUNTY CERTIFICATION NUMBER
. - _ .
BE /
State of Florida, County of JJ4- k. tC4. c
The foregoing instrument was signed before me thisday of
who is personally known _or has produced (f -J A. `/,
as identification. -
W / - "•'%1 STAMP
igoature of No(afy Public (f
Print Name of Notary Vublic
AUUR�B PHREY
COf, MISS10N # GG 3008i7
. March 6,2023
Py,PIRES
_. v,.nrsundev+ ',
Revised 11/10016
SU ,CONTRACTOR SIGNATURE (Qualifier)
Via. W "GA
PRINT NAME
XN
COUNTY CERTIFICATION NUMBER //.� --
State of Florida, Countyof �•+ f�(�% E
The foregoing instrument was signed before me this 1O day_of
Th
who is personally known or has produced
�--'& L.
as identification.
I/YYU'STAMP
Signature of Notary blic
0J F. �)Lvrn�?4)13�y
Print Name of Notaryublic
`p",n'v aym,•.,, AUDF2EY B.HUMPHREY
• µ�g'•`t� Ml'COMMISSION#G0300817
'm��j., EXPIRES: March6,2023
••�;;+,i,S• 3oreled Thtu Notary Wb cUndenvnlars
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
C) (, Anil P< L/x 1 have agreed to be
( pany Name/Individual me)
the ') LA. Vim b Yl--, � Sub -contractor for
( prof --Trade J
�" c, I (Primary Contractor) r f
For the project located at act ��� / CJ�1 164 � tr-e
(Project Street Add ess 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.
CGO NT-YC-ERTIFIGA710N+NUMBER
State of Florida, County of�'t- _k&Wj c
The foregoing instrument was signed before me this day of
who is personally known _or has produced l I `C,
as identification.
Z.
% STAMP
Signature of No Public (((JJJ
-Au iii—x { `a• mash N
Print Name of Notary Vublic
AUIiwi
MY COMMISSION # GG 30W7
EXPIRES: Ma^eh s. uode3;Al"
Revised 1 t/16/2016
(W01&e,� Zx< ,
EOR SIGNATURE (Qualifier)
GA
RINTk. �h1E
State WIMBER
Nt
of Florida, County or
rg ki E
The foregoing instrument was signed before me this day of
DW , 201=1, by �. /.
who is personally known or has produced a
as ide�ntiifi'cattttipoon..1 /, �/ ��jf,
4f /' t T—"`%I ��C�1•/rY1 •STAMP
Signature -of Notaryblic U
Print Name of NotaryPublic
�a+�v�,, pUDREY B• HUMPHREY
0y. •`°;: MY COMMISSION # GG 300617
.`;: EXPIRES: March 6, 2023
.`��?;R�iy°et Bonded Thm Notary Pub�dcUndervai[ar;