HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I SUE' DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BURRING PERMIT
SUB -CONTRACTOR AGREEMENT
WMc
(Company Name/Individual Name)
the c i G _- f Sub -contractor for
(Type of Trade)
have agreed to be
SM bston Pooh.14-6
(Primary Contractor)
For the project located at 1' olP by i4vyom Lci- 1 . TG y- I LIL
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.
tCCIN_
�iG t'U
TRACTOR SIGIN
J o Vn (A . % ( Oaf
PRINT NAME 886 77fL'LLj// I
COUNTY CERTIFICATION NUMBER
State of Florida, County of54-, i u p i P
The foregoing instrument was signed before me this 2 - day of
c-04Z 20/c! by d e 9 OL) 1%, Aid 5/
who Is personally known has produced a
as Identification.
Signature of Notary Public
k�, �
Print Name of Notary Public
`"" ''• WILLIAM H DONOVAN JR
-'.,'?:y- MY COMMISSION tl GG093576
_ �w4rM1�F,,• � EXPIRES April 12.2)2 1
Revised 11
STAMP
S OR SIGNATURE (Qualifier)
PRINT NAME
315?C/
COUNTY CERTIFICATIOIN NUMBER
State of Florida, County of<4- " iC.
The foregoing instrument was signed before me tld G day,off
0 �1
2 , by , � ter` Wy
who is personally known Ve or has produced a
poicvotL
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUnDING PERMIT
SUB -CONTRACTOR AGREEMENT
�opL 5 =/vim have agreed to be
(Company Name&dividual Name)
the )21—(.(/W A diG Sub -contractor for Tf►1 e L!5 Tn/t9 POOLS
(Typeof Trade) (Primary Contractor)
For the project located at
)) Gq.
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 RACIORSIG TURF lificr)
PRINT NAME
o2�-(or7
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 %. L R L/E ' `1
The foregoing instrument was signed before me this 1L day of
11 i,Y 202f)by .TO /fiJ M
who is personally known
r has produced a
as identification.
//�
� STAMP
Signature of Notary Public
&i! d 4f
Print Name of Notary PPublic
E
WILLIAM H DONOVAN JR
MY COMMISSION # GG093576
EXPIRES April 12.2021
2016
SUB- NTRACrORSIG lacr)
TdNti M - rn t4Y
PRINT NAME
'P 069
COUNTY CERTIFICATION NUMBER
State of Florida, County of S-T• L KC/L
The foregoing instrumentwas signed before me this �0 day of
�Tcf L y so�by _e WO M • M11
who is personally known ✓ or has produced a
:�sidentifficadon.
STAMP
Signature
eoofNotary Public% )—
Print Name of Notary Public
may'✓%% WILLIAM H DONOVAN JR
• MY COMMISSION # GG093576
1! EXPIRES April 12, 2021
,aM1,.