HomeMy WebLinkAboutSub-Contractor Agreementthe
PERMIT # ISSUE DATE
of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Cfq 4( 1 oaS
(Primarp Contractor)
(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.
�7
CO RACTOR SIGNATURE (Qualifier)
PRINT NAME
- 3
COUNTY CERTIFICATION NUMBER
State of Florida, County of I R
L
The foregoing instrument was signe//d�7 before me this day of
JAn ,207J by 1C-/G /IG2r� oJCe
who is personally known _"6 has produced a
as identification.
STAMP
Signature f Notary Public
Print Name of Notary Public
CAREN B. MILLS
' MY COMMISSION NGG33137I
Revised 11/16/2016
COUNTY CERTIFICATION NUMBER
State of Florida, County of—1 /( 1 �/
The foregoing instrument was signed before me this! / /day of
20=7a, by G rf �
who is personally known _or has produced a
as identification. /��7/,1
L/STAMP
Signatur�j�//L7 rr(/ J Notary Public
Print Name of Notary Public
tl V..t
CAREN B. MILLS
- r +a? MYCOMMMIONAGG331377
EXPIRES.Seplen1befd,20M
the
PERMIT # ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary
(Project Street Address or Property Tax ID #)
DL. '0'919
ST. Lucie County, Permitting
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.
CONTR�KOR SIGNATURE ( ua er)
lI5
PRINT NfANIE
COUNTY CERTIFICATION NUMBER
State of Florida, County of I nU (u` ,1
The foregoing instrument was signed before me this /O day of
C 20LZby
who is personally known lzur has produced a
as identification.
e
Signat& Notary PublicNa[ary Public
Print Name of Notary Public
CAREN B. MILLS
+' MY COMMISSION#GG33137T
''sj,..rs.u?p' E1PIRES:SepWnber4,2023
Revised 11/16/2016
P
SUS-CONT$. TOR SIGNATURE (Qua Jeer)
PRINT NhNM
COUNTY CERTIFICATION NUMBER State of Florida, County of -I h�7� V � L' J\
The foregoing instrument was signed before me this LC —)—
day of
PC ,20LfbY C, i
who is personally known _or has produced a
as identification. t
STAMP identification
Signature of Notary Signature of Notary Public
Print Name of Notary Public
d
E
�S'CAREN S. MILLS
MY COMMISSION # GG 331377
x"eEXPIRES: September4,2023
•
STAMP