HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
, � -- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
F
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
V a V a A �'L E e 72,C/-e0 b e r fi l a y u k have agreed to be
(Company Name/Individual Name)
the '�,6 C !2 tC A L Sub-contractor for Pod hQ 6 S/ 2 e9 , ,TJV e.
(Type of Trade) (Primary Con ctor)
For the project located at /00 �I 'Je,vd a/Ve y CQV 2 � Te h S-en 6ea d,
(Project Street Address or Property Tax ID#)
I
It is understood that, if there is any change of status regarding our participation with the above mentioned
Iroject, 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 SI URE( u fiery SUB-CO SIG TU (Q alifter)
c(21z (J ROLerT 100 Lt k
PRINT NAM , PRINT NAME
COUNTY CERTIFICATION NUM'B,E/R COUNTY CERT CATION NUMBER
State of Florida,County of�� VVl�Qj State of Florida, ounty of
The foregoing instrument was signed before me this, day of The foregoing instrument was signed before me this / day of
20�'by /� U/ / Uf ,ZO—IXbY VT /✓n (/
t (C
who is personally known or has produced a who is personally known vor—has produced a
I
as i� v�ca#4
t as identification.
STAMP STAMP
Si tur otary Public i atu of Notary Public
7&1Lq/ , �L/ep In q rW
Print Name f Notary Public P t Na a of Notary Public
i
JAYME CHAVEZ ;�;,r;;••.
•... JAYME CHAVEZ
MY COMMISSION#FF991925
M
y 12,2020 , COMMISSION#FF991925
.;
EXPIRES May Y
ao e- 1 3 FlorldallotarVService.com (4 )398. EXPIRES May 12,2020
Revised 0153 FlorideNo t,ryService.com
,
I
PERMIT# ISSUE DATE
=a PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Po O/S b �2 2 1/U�'• E 1 X have agreed to be
(Company ame/Indivi al Name) n
the IF I u tnb )'V q Sub-contractor for Po C h h I/ (r 2 eS �-
(Type of Trade) (Primary Contra tor)
For the project located at �40 lam'/aWd ��Cc h e� �°yv� J e!�se he2c h
(Project Street Address or Property Tax ED#)
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
fling of a Change of Sub-contractor notice.
I �
CONTRACTOR SI E(Qualifie SUB-CONTRAC IGNATURE(Q alifler)
PRINT NA E PRINT NAMW
QF3 ? I a $"37 /
COUNTY CERTIFICATION NUMBER // ,s COUNTY CERT FICATION NUMBER
State of Florida,County of C4 V State of Florida,County of Lit(
g
The for oing instrument was signri;�Z]
this day of The foregoing instrument was signed before me this �/ day of
,20h by (, ,20_j L/ W
who is personally known_or has produced a who is personally known L1 or has produced a
i
as id ntificatiou. as i ntification.
STAMP
STAMP
Si ure o otary Public Si n tu`re Mary Public JojkDve'
Print me of otary Public Print Name Qt Notary Public
' � J
Revised 11/16/2016