HomeMy WebLinkAboutSub-Contractor Agreement33, /-(z i�
PERMIT# ISSUE DATE
(Company Name/Indi`
the PeA)--
(Type cff Trade)
For the project located at _
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'J-cA CCC 13 30 0�e �`1 have agreed to be
d Nam y
&)4 Sub -contractor for
(Primary Contractor)
(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-contr �l ctor
SIGNA
3--T'1 (" s6%0_ GG6 o37Se7
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ity%o-m 9."vir
The foregoing instrument was signed before me this 13— day of
20tq by
who is personally known _or has produced a
as identification. M&Z &�� STAMP
Sliffiature of Notary Public V
( )1 br (a er&6 LAnq
Print Name of Notary Public
'_ls-�:g4n GLORIA END
RES LANG
;`e° �= State of Florida -Notary Public
Commission # GG 270024
�;?o�,,•� MY Commission Expires
Revised 11/16/2016 am` October 22, 2022
C� V
COUNTY CERTIFICATION NUMBER
State of Florida, County of LM1Gl far) r'PI)i V e r
The foregoing instrument was signed before me this Qft�day of
zo_q,by Motrhaal 7_"bi-a}o���
who is personally known Y or has produced a
as identification.
6-
3ignature of N tary Public
Print Name of Notary Public
'e^a_-, STAMP
JILL HAYES
Notary Public - State of Florida
Commission # GG 198343
My Comm, Expires Jun 2, 2022
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual ame)
the o 2 Sub -contractor for p�0w
(Type of Tra e) (Primary Contracto
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.
SIGNATURE (Qualifier)
v
,64 7'zl�'a)
PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION -NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
2t., by
who is personally known Zor has produced a
State of Florida, County of t , tf-&-
The foregoing instrument was signed before me this /A day of
20_6, by
who is personally known Vor has produced a
as identification.
as identification.
r Y
STAMPSig
k�ofi&ta�
tore of Not Public
CiSignat none
% 6pe
rint Name of otary Public
Prmt Name of a tary Public
OOROTHY L OUVER
.44�
Commission # 00102817
Expires May 0, 2021
�,4�`r "Dist,
DOROTHY L OLIVER
or F�
Commission 0 06 102817
Ov
Expires May 9, 2021
Revised 11/16/2016
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STAMP