HomeMy WebLinkAboutSub-Contractor Agreement PERMIT# ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
6 - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the PL.(d/W.61 L)& Sub-contractor for as%r)1iPOOL-5
(Type of Trade) (Primary Contractor)
For the project located at / 1017 S. .2 d.7 e)mA-) k/VK 2 D
(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 CTOR SIGNA URE( alificr) SUB- O CTOR S NAT aalifier)
PRINT NAME PRINT NAME
7 47
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of L-L C C State of Florida,County of57_1/-K C/�
The foregoing instrument was signed before me this!?�k_day of The foregoing instrument was signed
before me thi&day of
14N 44 N AY
/ I � I
who is personally known V or has produced a who is persoually known or has produced a
as identification. as identification. I,
STAMP STAMP
Signature of Notary Public Signature of Notary Public
�.� rf �f � i �f
Print Name of Notary Public Print Name of Notary Public
o:►"r' WILLIAM H DONOVAN JR
�►"Y'.�'• WILLIAM H DONOVAN JR MY COMMISSION#GG093576
MY COMMISSION#GG093576 �;;dr„ EXPIRES April 12,2021
EXPIRES April 12,2021
R
it
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building& Code Compliance Division
1
BUIIdDENG PERAHT
SUB-CONTRACTOR.AGREEMENT
have agreed to be
(Company Name/Individual Name) _
the y„1�6%Iq 16g- Sub-contractor for �'y'y/ a 5 /�/51/( 400L .5
(Type of Trade) (Primary Contractor)
For the project located at .
(Project Street Address or Property Tax ED#)
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.
C TRACTOR SIGNA nalifier SUB CO RACi OR SIGNATITRl (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of l-,ar j tt/ ec State of Florida,County of "o,I
The foregoing instrument vas signed before me this D'f k. day of The foregoing instrument was signed before me thi day of
�f2'aOAby fir, #6t-) dIYI 2 `/by
who is personally known Tor has produced a who is personally known Y or has produced a
r
as Identification. CAn
STAMP STAMP
Signature of Notary Public ta Public
Print Name of Notary Public riot Naro of Notary Public
i
i
'� : WILLIAM H DONOVAN JR
MY COMMISSION#GG093576 osar ao� Notary Public State of Florida
%2dF°f- EXPIRES A ril 12,2021 ? Kaylin J.MaY
or F� p c My Commission GG 9pfi9B1
Revised 31/16 016 �i� ' Expires 10/0312023
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