HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
i
- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
zjW M E, Z have agreed to be
(Company Name/Individual Name).
the E I e-d k asp Sub-contractor for r •.etc
(Type of Trade) `` (Primary Contractor)
For the project located at,266 r u. - 'D
(Project Street Address or Property 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.
C7JNTRACTOR SIGNATURE(Qualifier) SUB- CTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County o i 6 c% State of Florida,County of e4 • ct yL
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this oL I' day of
,201_tby 1�a1(i^ '�z�rG�� �J Cif .20_0,by
who is personally knownr has produced a who is personally known�or has produced a
as ide tification. C as identification.
STAMPl/? /' � �� STAMP
Sig"in—re of NotaryP is gikiuiture of Notary Public
17
�..ePublic Print Name of Notary Public
E
DANYELJONES %o�,, JASON M RAULEFlSON
MY COMMISSION#FF 198907 7 :? ��'': Notary Public•Stbto of FloridaRevised 11/16 EXPIRES:Jude t2,2019 '= Camtnis<tlon d►FF 965546
aonwUruNotaryPubGctMdennL a My COt11111.tiom Ftb 20,2020
n�
PERMIT# ISSUE DATE
_ -_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o
- — -- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
�1r �.► arl have agreed to be
Company Name/Individual Name
the 41 u Sub-contractor for 04S ca&e
(Type of Trade) ` �(Primary Contractor)
For the project located at_a(n m( �C/ a adN r-hr
(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.
'--//A /VIA
A�iACTOR SIGNATURE(Qual er) CONT CTOR SIGNATURE(Qualifier)
< vv\, Morro LJ ei m Marro (A)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
< L
State of Florida,Countyof6 C: State of Florida,County of, dg�l
The foregoing instrument was signed before me this Y day of The foregoing instrument was signe efore me this day of
�z C >\ 20a by `�� �d °� �� ,20L-,
who is personally known_Z�or has produced a who is personally knowd-..,*or has produced a
Cidenfication. a
7,.,-
tion.
STAMP /K QI- STAMP
Sign ur f No4PHF Sign re of o 1c
IrL�.fo,A.�r]A ublic Print Name 6f NUaty Public
EE-
4-
DANYELJONES' vDANYELJONES
MY COMMISSION#FF 198907. MY COMMISSION#FF 198907
* EXPIRES:June 12,2019 ;` t EXPIRES:June 12,2019
Revised 11/16/2016 d•' sondedThruNo eB '. '�=
Notary Public Uncle pf eQ Bonded Thru Notary Public Underwriters