HomeMy WebLinkAboutSub-Contractor AgreementPERMIT 1 M094_00
ISSUE DATE
. i°v „,fig . PLANIYWO & DEVELOPMENT
BaSER�'IGEsisinding & Code Coinplitince Divon
i
E2VIOIhG PEMOT
$u1CO�TRACTOR.AGREBNtF_NT
(:UJY�x&W44V. J GeJ� lNt have agreed to be.
(C0mpanyNameJhAi%id m1 Nmre) r
the Sub -contractor for e 6IEAW/f 1. g Azx e-0,
tT}}a of irul0i tPr mnar?'ontra ror)
ror the project located at % `�!� t c JAID/
Itisunderstood 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 adcised pursuant to the
Clingy+, of Change of Sub-eontractor notice.
CO`riRt ORSTG%Tt :to-II&r! ..•.,.•�
4
r-
rut\'r NAV
rncsTv ccRTlrtoArtos Nt autlte
St.wn{rlofldn.Ciutnyrsf r'�+C'i-,ru
r Yf 1l"` .
'ry'M��t�orcgolaainkrvicenf wos r��e7d tf¢turo nw th(s �y,.Gny ar
wbO lspennnntly kmo4n ✓- np hn pmduetda
ib w�nn�nr,[lan.
5TVfP
Sulu mm aftry robot/ '+•.__�
s—uT FohT 0It.51CNATURE(Qa IiAer)
WAME ZIMMa fi-Al
PRINT NAMr,
GMr ?1'.CB:itIIF'ICATIOS •sU31n8:R
Tilt forr{.Oin%b"trwment xas styad before me
flg_,2o04 O WNE :ZJ&9JJ
wbo is Persa muy lmwn_&erlas pradmedn
Or ldmttfkariam
q�oreSTAMP
ni,NOraty fu li
Prtm NAMOrAbtMr rebut
,�a
C
4OWY pubic y0t4i1 FtfAe
KmIaJShnm*
It"Y f"Z'='"Oa81?9t
nm
PERMIT# 1C�Og, 6kq--. ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
6-6-9-VICES, //UL' have agreed to be
.1 Name Sub -contractor for ATLft%Z 6*6W,4ZL f 4DIZ9 C8 -
(Primary Contractor)
$09 S' /NJ/fNV ,��V�ZD2
(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.
A 'LnK
-ONT"G TOR SIG�T11@I URE(Qualificr)��
PRINT NAME t �
&C,1;.59(039
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of 17719 47 iI tl
The foregoing instrument was signed before me this —19 day of
who is personally known V or has produced a
as identification.
4'�a STAMP
Signature otary Public
SUB-CONTAA<TOR SIGNATURE (Qualifier)
WftYNE 2lmmewmAA)
PRINT NAME
13U1q
COUNTY CERTIFICATION NUMBER
State of Florida, County of nn
ITh��e foregoing instrument was sig�n�e�dd before me thhiisp.�,y0t daay{ooff ���,,� /
mc
who is personally known X or has produced a
R
Notary Public State of lWda
Kimla J Simone
My Commission FF 981331
Expires0511=020
STAMP