HomeMy WebLinkAboutSub-Contractor AgreementyesclaGK
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
E/YE CL-LC%/e1Gl4
G ES have agreed`to be
(Company NamellndividualNume) _
the Name/Individual
am Sub -contractor for ZEN C a.5 /em %IDOLS
(Type of Trade) (Primary Contractor)
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.
CO CRACr OR a ificr).
H N i�a M A
PRINT NAME
COUNCYCERTIFICATION NUMBER
State of Florida, County of C f i
The foregoing instrument was signed before me this � day of
L ,2(QQ byilO WdO 6&'IWAY
who is personally. known Vor has produced
as identification.
STAMP
Signature of Notary Public
mint Name of NotaryPublic
""�' �" WILLIAM H DONOVAN JR
;a; MY COMMISSION # GG083578
Revised 11/162016 ;"�h,,F EXPIRES April }2,
-2 �E
SUB -CONTRACTOR SIGNATURE (Qualifier)
ellRls Pi.5-Al
PRINT NAME
t����
COUNTY CERTIFICATION NUMBER
� /� Q
State of Florida, County
The foregoing instrument was si e
had before methislV' pay �oof
s
who is is personally known _or has produced a
EiK
e State of aysion GG 93rL023
STAMP
yk se'qE K
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Jjm C us-rolV7 62Z 5 have agreed to be
(Company Name/Individual Name)
the P1_ (f fm A61 A,G Sub -contractor for J—%n 11 U5 Ti�M ODL S
(Type of Trade) /� 'I � (Primary Contractor)
For the project located at /� S• N �j/ fi P Iy V k
(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.
CO CI'ORSIGN ' (Qua'rier)
PRINT NAME
a �16 7
COUNTY CERTIFICATION NUMBER
State of Florida, County ors(• tfC
The foregoing instrument was signed before me this::& 9day of
J (/OiEf xoSo by J 0 Ff N M r V_V'l q
who is personally knowl✓ or has produced a
as identification.
'e� �'e
Signature of Notary Ptffitic
Print Name of Notary Public
SUB-C/(3NTRACI'OR SIGN (Qualifier
V_z2 vn rvr a y
PRINT NAME
007
COUNTY CERTIFICATION NUMBER
State of Florida, County of-/ Lac-1
The foregoing instrument was signed before me this day of
�ayK 20ge by J a:y .4
who is personally known (xar has produced a
as identification.
STAMP STAMP
Signature of Notary1Publi
ICMN.. of Notary Public
ti ^" WILLIAM H DONOVAN JR
MY COMMISSION # GG093576
,qr EXPIRES April 12. 2021
Revised 11/16/2016
:1+�GNhir-. WILLIAM H DONOVAN JR
=•; MY COMMISSION # GG093576
'?y. • EXPIRES April 12.2021