HomeMy WebLinkAboutSub-Contractor AgreementPERMIT' IS�SUE, UATE
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P L A _N Nl TNTG & DEVELOPPYIENT SERVICES
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S U, 13 , C ON�'TJRA C TO R.,NG RL E M F, 2NT
Subwcontra,ctbr for.
(Prima*, contractor)
Addreiss or Property, TaxlD 4)
have agreed to be
It is understood- that -if theke is, ahy dian-k,bfstatus-reei,;ardi:ng oukpattkipitidn.,iOth the abo,-%e mentioned
project, the 'auilding and -Code R&Madon, DlviSift of St. Lucie- County will be advised.pursuant to the
filing of a C4ange of Sub-contrvvt,or notice.
sbte,4,tor da.
tor;da, County Q7—
The before thA day of
�Al
who is p has. produced a_,-
ae" Pnk»� ,al�-Q _N
ignat
rr
Print . w mi6 I wry Publ,ic
state Of Florida? County or
Thc-faregoin-l"runwot was signed before me thilAday of
_
2� 6y,
wba is pci-s6qally kq - - orhaiprod.tked:%
71Q,
S fA;% f P STAIMP
tu.r 6., 1'. 6ry.pu lie
Prifit Nanie df'%ot3'*-Tublk
BARBRA A GOODMAN
CorCommission# GG 198133
BARBRA ADMAN
GGGOO
Ew�w March 20,2022
6
CmffdWm # 198133
EVirw March 20.2022
i
PERMIT# ISSUE DATE
i
=aC�OUav • ]�--
PLAN I C & DEN EJLOYINIENNT SERVICES
Building & Cade Compliance Division
BOLDING PEWMIr
SUB -CONTRACTOR AGREEMENT
/ r eQSyr>° 6G5 f ell 6I have 3eed to be
iwCo,;:P�t�•, 'i:arne:'fs➢div"s�us,'tiam,ct
rile Sub-contractorfor
1 � vne of Tradt'`G� 4Pri-mi. r Contractor)
For the project located at
EPmAec, Sireei Add.—ess or Proversv "T.x ID =i
It is understood that. it there is any chance of status retarding our participation with the above mentioned
project.. the Building and Cade Regulation Divi-sion of Si_ Lucie Counvv will be advised pursuant to the
tllina of a Change of Sub -contractor notice.
CONTRtCTORriGNATCR _(Qualiticr)
PRINT NAME
COL:�TI" CEF.TiFIC.aTIo. ' � C?iBER
State of Florida. County• of �
The fore-0oine instrument «as sf . efere Ws &N-of
^�
whe is personally kns n — x has produce,I s —
as identift , on,
atenature of Sot �r} Pu lie
Pr�.-f Public
SL'& 13�NPM-kCTO SIC (Qualifier)
FIRM SAME
z.918 V,3
COUNTY CERTI M-MO\ Ni' IF.ER
State ofRedd--,County ofSL �r�Cte
The foregoin_ instrument sas signed before me this �Zj�dav oof
sih9 ie pem_onalh known v`or has produced 3
2 idenriticstion.
SoQnslr6reoff:Not3n Public
J65hv���tc�
Print Same ofSotary Public
,fOSHUA REDHEAD
Notary Public -State of Florida
Y Commission # GG 311365
My Commission Expires
'��P,ii+�P� March 13, 2023
STANI?
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-ebS el(scr- -' (.
have agreed to be
(Company Name/Individual Name)
the iv l ecriz;i C'P-A Sub -contractor for w �n� r� �o ✓J 51 �Zu c� ►c l.�
(Type of Trade) (Primary Contractor)
For the project located at N a9 low 6 `fit '4 t; ' z - u 6
(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.
SIGNA
ro,J /�VV\-0,Q
PRINT NAME
-Z_Oqz�/
COUNTY CERTIFICATION NUMBER
State of Florida, County SS Lo 0
The foregoing instrument was s' ed before this day of
20 by n
who is personally know) V or has produced a
identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
�o V P% BAROM A GOODMAN
* t Wnrl"M # GG 198133
0) March20,2022
'ryl��pol' 001dId1Ervliutall�binpS��6oM
Revised 11/16/2016 Q.
SUB -CONTRACTOR SIGNAT
PRINT NAME
I O s qq-,
COUNTY CERTIFICATION NUMBER
State of Florida, County oa_\L�\e_
The foregoing instrument was signed before me this ALat day of
20 y E E�'\ RQK_�
who is personally knowlf for has produced a
as identification. /
-MP
ignature of Notary Public
not Name of Notary Public
h
op`
C1tAY
WRW AGOODIUW
r ,,•••.�
Ctalnmi dM # GG 198133
Expires March 20, 2022
��FOF F��Q\
Bonded I1ru Budget Itotary5etylces
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sg °� i'z_ e r '?ocr s ►► • �—JL' C� have agreed to be
(Company Name/Individual Name)
the t V d'. Sub -contractor forr-?Clo--?4,N�,c,� .J�N> Ca��1 s-i'rZ,� c7n
(Type of Trade) (Primary Contractor)
For the project located at
t_o,J G �I.136 /Z C� rz
(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
notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
zGgz4
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me the 6t..
[ ,of
who is personally know r has produced a
as, dentification.
(%i STAMP
ture of Notary Public
print Name of Notary Public
BARSM AGOOD"
CommissloOGG 198133
'9 t Expires Ma1020 20n
'�AFR� #aaaeathn,e„a�ettor�,s„�
Revised 11/1612016
SUB -CONTRACTOR SIGNATURE (Qualifier)
V-kl,L ChVU �I NCI
PRINT NAME Irn
c &0
COUNTY CERTIFICATIOeN NUMBER
State of Florida, County
The foregoing instrument was signed before me thiday of
2�], by �C �l &
who is personally known�or has produced a
as identification.
amo(��'
STAMP
Signa ure of Notary Public
Print Name of Notary.Z,ublic
,
BARBRA AGOODMAN
% Commission # GG 198133
m Expires March 20, 2022
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