HomeMy WebLinkAboutSubagreementsPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- - Building & Code Compliance Division
f
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
..e C 1 ( 't v` - L-e
(Company Name/Individual Name)
the �'�� Sub -contractor for
(Type oftrade) (Primary Contractor)
For the project located at J0'l �? j `p , () (_, 0�
(Project Street Address or Property Tax ID
have agreed to be
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.
s
� CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of —7— -t
Thhe` foregoing instrument was signed before me this 4D day of
who is personally known _or has produced a 1 l
as identification.
S' a ure of otary Pu uc
1 i�n E 0Y1��'��
Kint—ame of Notary Public
,), 1793 cpc1.-5 /qgl
COUNTY CERTIFICATION NUMBER
State of Florida, County of —K C iCin
The foregoing instrument was signed before me this � day of
Sgp--t 20�� by A c�u m 5 M 14 V
who is personally known or has produced a C' L��L
as identification.
STAMP ' OO k � QLtD ' '
�Icd STAMP
Signature of Notary Public
Print Name of Notary Public
r r Notary Public State of Florida ;,^ State of Florida
Lisa Bonura
c My Commission GG 223725 Robert Blauvelt
Revised /I Expires05/31/2022 My Commission G0032763
? Expires 09/22/2020
PERMIT # ISSUE DATE
c?tUNTY
nA�
F
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(� G✓ Si�j - .� I J c -- 4- 61 C have agreed to be
(Company Name/Individual Name)
the fL- V("C V 4 -, Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at / L 72 S G ( --f- A6'1
(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 -con
TURF (Qualifier) SUB-y6NfkACTOA SIGNATURE (Qualifier)
�V' _72/717
NAME
,21793 CRC l� l G�►',�'
COUNTY CERTIFICATION NUMBER
State of Florida, County of Qn.'.PCkC'K
The foregoing instrument was signed before me this (S day of
SPQfi 20?�t,, by ACJ C, ry, S
who is personally known or has produced a P� rJD1--
as identification.
V C) LA
Signature of Notary Public
Q&(--� Q�Uv✓e t -�
Print Name of Notary Public
-�� In -1 k2 L
PRINT NAME
D,C - '2- Ec 13 O&� 37v
COUNTY CERTIFICATION NUMBER ��77
State of Florida, County of 1�1 L lam.{ K_
The foregoing instrument was signed before me this day of
2Q� f& by t> ��y1 �Q U )
who is personally known _or has produced a ✓
as 7tion.
STAMP
Si a e of Nota u lic
� I S Q �J 1� L J, rQ
Print Name of Notary Public
y i= - do State of Florida
Robert Blauvelt
My Commission GG032768
Revised 11/16/2016 expires 09/22/2020
X
Notary Public State of Florida
Lisa Bonura
My Commission GG 223725
Expires 05/31/2022
STAMP