HomeMy WebLinkAboutSub contractor agreementPERMIT n --_ — iSSU'_ DATD
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
• BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_ S((cconAcu"
(Company \ame lndivjdual Name) T ---- - �' --- --
the.� i �i Sub -contractor for 1 \ "
(Type of Trade 1 (Primary Contractor)
n
For the project located at � ��.�C <I � � 4 r—'
(Project Street Address or Propeng 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.
� 4
CTANTRACTIORSICNATI. RE (Quaaa r
PRINT NAME
14
ChUNTY' CERTI piCATsnN NUMBER
State of Florida, Caunh nf_ C �( I
foregoing inatru m was lima d helnrc me 1hia
!
L� day of
1 �+ AQ.L'hy IJAILwl
who to perinnaay knn..n or has produced
SL'B NATL' udNer)
f/A
PR .TNgx F. / '7
l P�� cor�S C7C
C'(lll\'fY <'e.Rllell Alnl. \I-YINhN -----
tittle of Florida, Cotton n( \ Pis ()
'rhe Mmg,dn 1gin-xrrumenl signed before"'his dor a(
y.zo?Uhf Ai4111- f4trorn I
anAII) known _or has produced a f l_ryJC�
as iden(ificaliaa idend don.
♦l.i ` .\ f( J �( l�� 5'1'A.MP 9iT.I.W,� f Solarr, P. It, Ior f Notary He STAMP
G� lxtll ti _ V1 S
PrIM Name of Mary Puhlic Pri I Name of, olary Pahtie
AN,ELAt. DAII5
�r2 A:rdron DAVISANGELAL.1HMISSIDNgccA2442`Q:
F�PIRFS MY COMMISSION# GG
917244
e100w
moo EXPIRES: September 29, 2023
Revised I I to 2010
QaBonded Thru Notary Public UMerwdtera
PERMIT a SSJE DATE
PLANNING & DEN ELOPMENT SERVICES
• r
Building & Code Compliance Division
BUILDING PEOUT
SUB-CONTWTOR AGREEMENT
have agreed to be
ICumpam Nitric Indntdual Name;
the 111k (' I1(C I 1 r C JJ Sub -contractor for ' It A ((I i-\ � � I �Y( r
(Ty
pe of Trade I I Pntnan Contractor)
For the project located at L , , r"r
I Project Street Address or Propem Tax I D - i
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.
OUNTRACTOR SIGNATk I u 1111 l
PR . NAME
04
COI NTH CERTIFICATIONII MBER
State of Florida. C—an of �� L
fh forepoma instrumear »., ,q;nrd bdore nu thb L daof
. �
.•h�. i, pcnanall. I.nu»n `� nr ha, produced a
a. ld.ntificaaun. / "
Pnm No..of NF
-4 DAVIS
fnv ;;OkMd4S:!CW a GG 91ri41
..;•-'PIRES-Se;temee�292^..
is ${O\TRACTORS CYATLRE tQWMerI
I hc�14s L
►RINT \ANE
CAC, k� c S (-,
COI NTI CERTIFICATION Nl N1RER
State of Florida. Cowen of , 1 •Cu 11
TYe fweaoity iaatrutoeat wu tgaad More ax tYit � daf of
JPG�,26��, In _Iflr.twlN �. S�iNPrif-k
• ho I, Penotlaaa knot a / dr lw pr"wed a
as idealificadod.
STAMP STAMP
iaaature of No— P. c
HCrnA l�/wNt�r�
Prlat N tee r Naan PaYae
q�r,ds�t.Yg
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
I , Building &Code Compliance Division
- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`a ��'
e agreed to be
(Company lName/Individual Name) l
the '�� 1 YVI�O �� Sub -contractor for N(a n
I (Type of Trade) 3 (�` n ^ (rirmary._Contractor)
For the project located at r] WQ �Aj ( , 1' I_1�� Q �� ! r r-�— U
9v r
(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.
OR SIGNATURE (Qualifier)
(�_ V/ j
PRIN7 NAME
14
COUNTY CERTIFICATION NUMBER
State of Florida, County of &S
11 rL�
T �foreg�oiog i�nstlrument was signed before me this ` l day of
f �202 by���YV��iA—
who is personally known or has produced a
1AV 1S
Public _
�L. DAVIa
MY COMMISSION # GG 917244
EXPIRES: September 29, 2023
Revised I
STAMP
�&L"__
SLONTRACTOR SIGNATU (jualifier)
IA �� M UAk—
T" 1 U� 61
TZII�
PNAME
W
Onea
COUNTY CERTIFICATION
gMBER
2S( 0
State of Florida, CounTy of
T e foregoing instrument was ingot l/ybefor me this' 1 ay of
F i ,, 20�y "1, �-�
who is personally known _or has produced a
(J'ddficadou.
STAMP
I lure of Notlu Pno"
/�A^n
V V'Y l
Print Name of otnry Public
.�.•• ANGELAL.DAVIS
�` �R MY COMMISSION # GG 917244
EXPIRES: September 29, 2023
�"+.�� Puolic Untltm'dtera
e6r �;°P� Bottled Thm Notary