HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # k a Q1 J 63 q �; ISSUE DATE
-- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
-- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT AUG 19 ,I-10 I
ST. Lucie County, Permitting
have agreed to be
(C m ny Name/Individual Name)
the s� ZZ/� A /'Xi Gj Sub -contractor for � Q Uolex? Aq� /s
(Type of Trade) (Primary Contractor)
For the project located at
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 IGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION UMBER
State of Florida, County o�a
Pe foregoing instrument was sign before me this/0 day of
202- l/
w ' personally know r has produced a
a •i n ication.
ALL STAMP
Signature of Notawpivid
Print Name of Notary Public
�~' O�PRY PUB(ic
Revised 11/16/2'i;c`
9T� e f `v-
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATIO�E T State of Florida, County
The foregoing instrument was sign, cf✓ore me this day of
SHERRiFEHL�AN
# GG 18T160 RY PU �c SHERRI FEHLMAN
Commission o�P .- e
N,
Sxpltes M81c"sartces
_ ' Commission # GG 187160
' Expires March 14, 2022
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ISSLIM ORATE
PLANNING & IaEVELOPMENT URVIC
Building & Code Compliance Division
•
RiUILDI NG PERMIT
SUBCONTRACTOR AGREEIV MT
(Co Namc/individual Nsvw)
the _. g t Sub -contractor r (Type of Trade) (Primary Con
For the projea located at _ 33,71
(project Strvdt Address or Property Tax ID
RECEIVED
AOG 19 1.020
ST. Lucie County, Permitting
I
have agreed to be
It is understood that, if there is aay change of statue i�Wrding our participation with the above McAtioned
project, the BulildWS and Code Regulation Division of St. Lucie County will be advised puraught to the
ding of a Change of sub -contractor notice. '
i
NT CrOe B[GI�iJ1 R� ( uotH{or) S tiB tQuarilleq
r toanrE PRINT HAKE
Ito NUMBER Go11NTY C�t.ctF1CATF--' ER ,
COUNTY CIERTIdl7QA
Stare of FbAdo. County e� �—� State orFroreda. county o
foregoing In alumeetwasf aefor merbtr Qds of The rayotggIOrtnlmonr®erSIgntA lire meth1A /Qdq
who o n htts�lilrodoeed a 00�onaltY K
osrn as oductO o-
_�P!rro a14
STAMP
N-
SHERRIFEHLMAN'
o��vruB�c
Commission # GG 187160
Revised 1111fJ2016 °e
Expires March 14, 2022
ylFOF F�O�
Bonded Thru BLdgel Notary Sorvioao
SfAmp
Princ Name or Notary Public
SHERRI FEHLMAN
Commission # GG 187160
.n9T�OF
Exp
lTTuu March
FL°P°
sanded
Services