HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
` U t':,, l -7f CU t< r
(Company Na e/Indivtduat Na rt e)
the L rye J Sub -contractor for
(Type of Trade)
have agreed to be
p '� -k- .�—'
Y - � r"
(Primary Contra tor)
For the project located at b26 N N nW W
(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.
CONTRACTOR SISI#.TURE (Qualifier)
``N i
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of . WCi C"
The foregoing instrument was signed before
� me 1this day of
`
lk al/� 20A, by ��/1 vN 11y �iC
who is personally knownor has produced a
7S
ca ' n.
STAMP
i n—ature of Notary Public
Print Name of Notary Public
,fi f Notary ne A.lic State of Florida
a*.`f��j/�`F` Christine A. Marsh
Revised 1 My Commission HH 026766
orw Expires 08/02/2024
SUB -CONTRACT IGNATU (Qualifier)
PRINT NAME
Q1q_1 '3___� (
COUNTY CERTIFICATION NUMBER
State of Florida, County of L-1
The foregoing instrument was signed before me' `thhis Mday of
1=--'202bby T�� WJ�C
who is personally known _y__ or has produced a
as idLmMification.
Signature of Notary Public
UDA_ � V-\� m)�
Print Name of Notary Public
of �Notary Public State of Florida
Christine A. Marsh
+� a My Commission HH 026766
�1 Expires 08/02/2024
STAMP
PERMIT #
VO, 6
(Company N m
the C- L 66
(Type of Tra e)
For the project loc t
It is understood th t.
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
0- 7eiCIkoOLerI-
e/Individual Name)
tQA(
ed at lY a
(Project Street
have agreed to be
Sub -contractor for %000)-Q 6V � t2 eg -T vC-
(Primary Contactor)
or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
project, the Buildi g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change f Sub -contractor notice.
CONTRACTORS T LIRE (Q lifier)
J C- 21z IAj I
PRINT NAMFJ
State of Florida, County olI 5�
The foregoing instrument as signed before me\this ,� day of
2 y lCi1 Y-4 VVI
who is personally known or has produced a
as identification.
�A
Signature of Notary
Print Name of Notary
Revised 11/16/2016
PRINT
198Y9
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing 5 instrument
was signed
�before
jme this 1-1 day of 20h, by
who is personally known"
or has produced a
as identification.
STAMP �'"� ���= STAMP
Signature of�Notary Public
T=3
Print Name of Notary Public
sC''W °°lpl=S'tatete of FloridaowinsGG 20173322
U
�� ae
z
Notary Public State of Florida
A Thomasina Bowins
x
My Commission GG 201733
. @
Expires 03/29!2022
sC''W °°lpl=S'tatete of FloridaowinsGG 20173322
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