HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
aood-os�a
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division _
�L7County,
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT JUo
ST. Luciermitting
have agreed to be
(Company Name/Individual Name) /
the Sub -contractor for Al i A m tin 72r4o -1 -SC S
(Type of Trade) (Primary Contactor) z
For the project located at A ✓f For4 p iet'Ce
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S} • L.be fk
The foregoing instrument was signed before me this �X3 day of
73 u _� ,2oa,by Er4. -Tg\ h
who is personally known or has produced a��1�L
as identification.
Signature
STAMP
Signature of Notary Public
ter
' M11A MARIE GNENS
MYCGMISSION q GG 022023
1RE& Gacember 16.2020
Bonded TMtNotary Pah�c Undonft,
Revised 11/162016
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP
the
PERMIT# ISSUE DATE
a.aab -0 5W d
4. C� PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisio .
(Company Name/Individual
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
JUN 2 3 2020
ST. Lucie County, permitting
(primary Contractor)
have agreed to be
For the project located at I %)
(Project Street Address or Property Tax ID u)
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
tiling of a Change of Sub -contractor notice.
� N 1'R.\CI'OR SIGNATURE (Qualifier)
PRINT N,ANIE
COUNT}' CERTIFICATION NUMBER
State of Florida, County of "13_1 �2
The foregoing instrument was signed before me this day of
who is personally known _or has produced a
as identification. ,J`p�STAN IF
Signature of Notap� Pu lic
Drhei „ >
Print Name of Notary Public
OERNNAMAWEGNENS i
> � ' MY COMMISSION 0 GG 022623 I
o EXPIRES: December 16, 2020
Revised 1111611016
SUB -CONTRACTOR SIGN:ATURIS (Qualifier)
PRINT N:A)(E
COUN" I'1' C ER'rIFIC TION NC\I134:11
State of Florida, County of___
The foregoing instrument was signed hefore me this day of
who is personally known or has produced :1 _
as identification.
STAMP
Signature of Notary Public
Pont Name of Notar Public