HomeMy WebLinkAboutSubcontractor Agreement ' r '
PERMIT#' `^� O0 ISSUE DATE
� 4 PLANNING.& DEVELOPMENT SERVICES
Building& Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
�► l tAy, 9 v 4- cu s-y. b ev fi.4 C_ have.agreed to be
(Company Name/lndividual Name)
the '(9 o ,q ,f 2:2' Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 7 01��.�„✓PvV-e.-, L.--
(Project Street Address or Properly 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
f ling'of a Change of Sub-contractor notice.
CO RA SMKATtTfZE(Qualifier) SUB-CgXTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of StGLe— State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
21�,by -��...nn�. Q �
who is personally known or has produced a who is personally known or has produced a
3aturfei
tification, as identification.
STAMP � STAMP
of Notary Public Vig.!t.re.fotary Public
JI LASHAHNA INGRAM
Print Name of Notary PubliA""( '' Notary Public-State of Florida Print Name of Notary Public
§ My Comm.Expires Dec 20,2018 lSwxi
Commission#FF 177249 �a�`a�ri`0�., LASHAHNA INGRAM
2°P U'`�'? Notary Public-State of Florida
Bonded through National Notary Assn. ,
u•E My Comm.Expires Dec 20,2018
Commission#FF 177249
Bonded through National Notary Revised 11/16/2016 g Y Assn,
PERMIT# O ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
e
o
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
�-f I�GY 1y�� �le�Ti i�GP • �-1-1�l'� have agreed to be
mpan Name/Individual Name)
- the i4h�ltc t'l Sub-contractor for
(Type of Trade) (Primary Contractor
For the project located at _-_Entd 10_n L)eV N-
(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.
C0>FfkAC4rDh SIGNA uatift/r) SUB O CST/R ATURE(Qualifier)
Dou�If 5 414vik
i�--f-an
PRINT N ME PRINT NAME
COUNTY CERTIFICATION NUMBER C UNTY CERTIFICATION NUMBER
I
State of Florida,County of-�1 1 // State of Florida,County of
The foregoing instrument was si ed before me this AOnExpireiMOS,
The foregoing instrument wassigned before me this ��y' ,day of
20 6y 1 (�1 • �� ,20_,/ bye f�IC. T 1
who is personally known_ who is personally known e/or has p duced a
as identi(icatio `ot�tV°pe��,� CARMEIER
as;L.d..-
I Notary PuiStateFlorida
Commis6877My Comm. 2019 STAMP
Signa a of Notary Pub' """' Signa a of Notary Public
1
Print Name of Notary Public t Name of Notary Publie
I Po Bonnie L.Simes
State of Florida
My Commission Expires 03101/2016
+'
Revised 11/16/2016 '" .F V Commission No.FF 92432