HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
_ - PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
a n
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
I
4 RECEIVED FEB 0 72017
g� &&relk
1`-i E � have agreed to be
(Company Name/Individual Name)
the PL'UM_R1,MrT, Sub-contractor for A & G CONCRETE POOLS
(Type of Trade) (Primary Contractor)
For the project located at Q11-7
(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.
i
CQ CTOR SIGNAT (Qualifier) VXCTO
GNt1TURE(Qualifier)
DAMES T. LEONARD JAMES T. RD
PRINT NAME PRINT NAME
� 25959 25959
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
S to of Florida,County of ST. LUC IE r��r State of Florida,County of ST. LUC IE
The foregoing instrument was signed before me this Okay of The foregoing instrument was signed before me this a day of
`L.IF1�-ti .2011,by_TAMPS T_ LEONARD 20l ,by ey JAMES T. LEONARD
who is personally known or has produced a who ni
sonally known X or has produced a
as' e 'ficatio . as i ation.
STAMP
STAMP
ignature of Notary Pub'c gnature of Notary Public
FARA D'. HERNANDEZ FARA D. HERNANDEZ
Print Name of Notary Public Print Name of Notary Public
Za''"'°" ' FARA D HERNA EZ �^
:. 1. a: ;tia oe l
?� _ FARA D HERNANDEZ
:.i MY COMMISSION#FF172419 " MY COMMISSION#FF172419
EXPIRES October 28,2018
'•'FOFc� '' "•'Fo'F�°°•` EXPIRES October28,201�8
Revised 11/1 ssa�t as FloridallotaryService.com {ao�)3s8-oiss
FloridallotaryService.com
i
PERMIT•# ISSUE DATE
x "Awe PLANXWG&DEVELOPMENT SERVICES
. 1 ' Building &Code Complianee.Division
o CAL -•L� �- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
RECEIV`D FEB 0 72017
have ajzreed to be
(CompanyNanieiind'vidual Name)
the �(c� ,-t rct,� Sub-contractor for
(Type of Trade) (Prim Contractor).
CC /
For the project located at U• ..
{Project Street.Address or Property Tdx ID#)
It is understood that,if these-is any char a 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.
j OR SIG URE(Qualifier) SUB-C NTRACTOR SIG AT ualifier)
PRINT NAME PRINT'NANIE
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
i
State of Florida,County of2�r- Q state ofd7orids,.County of 5 Lc,P
Th foregoing instrgmeut✓wwas sit�,etd before me th. nJ944ay of 0'a-I--
e foreg
oing instrumentwas sigac efore me this day or211; l,by �L( S 1.� ,2CI,by
j
bo is er onady known or has p odacit
who is rsonalty"kaown�/ or, as produced a
as id ntif lion as id n fication.
MP STAMP
$gnature ofNotaryEublic Sig'afore of Notary Public
/ _ : FARA D HE
RNA
FARA D HERN °? !!. `�
MY COMMISSION#FF 72419
MY COMMISSION#F ty:c' j�',•;
!� �: EXPIRES October 28, 18
'••',2•oFno?;.� EXPIRES October 2 , ''••°i,`.`,•''
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