HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
�ti1�:;;r#ika�'ssgy;++:itti:;+ak��abs'�a�aar�
rR.
L
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for /40o AS
n(Primary Contractor)
tl
For the project located at ow oc;A /6
(Project Street Address or Properif Tax ID #)
�CJLiQLG/� pD0 1Y
Name7lndividual
(Type of Trade)
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.
i
CONN�TRACTOR SIGNATURE (Qualifier)
PRINT NAME
. '�)'
COUNTY CERTIFICATION UMEER
State of Florida, County o.
^Thforegoing instrument was sign" efore me this day of
SUB -CONTRACTOR IGNATURE(Qualifier)
4-'E6 6 2i <
PRINT NAME
COUNTY CERTIFICATI
State of Florida, County f L<rV
The 91 egoing instrument was signed before me this ��day of
C% ,.2olaby g!d gSe�%i -&v ? J
IP
Print Name of Notary Public
Print Name of Notary Public
btrs?Y?Ue
SHERRIFERMAN
s z Vi*
` r'
Cmleslon#GG197100
Ezp 0s March 14, 2022
,e
a°".R^k' SHERRI FEHLMAN
rdr F4'
00dal tNu eaoatttlolnysemaa
Commiss(on#GG 167160
Revised 11/16/2016
yr er SK003 March 14, 2022
FOF
F�aP 9anaw 17vy 0uetsl NoVry Santspa
05/2412018 08:230
(� I PERMIT*
COUNTY
F l 0 P. r U A `*,
r1
the
For the project located
ISSUE DATE'
PLANNING & M ELOPMENT SERVICES
Building & Code Compliance Division
ak
10
)SUII,DING PERMIT
SU&CONTRACTOR AGREEMENT
Zze e 71-,P-1 G
have agreed to be
Bub -contractor for L qu n
�tn"my Coabaomr) �
It is undereteod that, if there is any change of statua 'regarding our participation with the above mentioned
project, the Auildiag and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
Z,Y2��L�-
CONTRA ROZONATURE(Que0w)
AUNT NAMB
COUNTY C TI r E � ---
Smte ofFialOo. Ceuuty E6'L" �"'Si—�
COUNTY CR4Ait/TION
6mk orFloAda. Counryo f[.C�L�.i `'
Frint No g1No1a1YFUE Print amt orNohry PubUc '
2olsr rue�c SHERR)FEHLMAN
Commis*n # GG 187160
�> ce Expires March 14, 2022
AlloF FI Bonded TMt Ndgd No M Sm'ooe
Revisal IV1Bnot6
?ot°1rr�e`c SHERRI FEHLMAN
MpCommisslon # GG 187160
�oF 5g .Expires March 14, 2022
8Qndtd TMi Budget No1wySU,i,g