HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' `- �' 'I ~A�!STLu!ci
_-s Building & Code Compliance Division
•
-- CEWED BUILDING PERMIT
SU -CONTRACTOR AGREEMENT
T 0 6 2020
County, Permitting
Lnz k S q�� have agreed to be
(Company Name/individual Name)the C Sub-contractor for J'r,/11C OC,� G 9
ype of Trade)Jr (Prima nt
(Primary Coractor)
Fo the project located at J G
(Project Street Address or Property Tax ID#)
it,
s understood that, if there is any change of status regarding our participation with the above mentioned
pro ject,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
C CTOR SIGNATURE(Qualifier) S - ONTRACTOR SIGNATU Q ier)
/ ►YIJ /V'0�/-
PRINTNAME T PRINT NAME c [
�J J �U
COINTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER—
St
,IIte of Florida,County of } State of Florida,County of
Ta' foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
who is personally known V or has produced a who is personally knof�b
Vr has produced a
II
as identification. as identification.
/*" STAMP l STAMP
SigiTature of Notary Public stgnatvrVb Publie
h 1
4�
ag
Print Nadac of Notary Publk Prot`—NanCe of Notary Pub i
�.µr• Notary Public State of Florida �'►"r"4e Notary Public State of Florida
Danyel Jones � : Danyel Jones
y_ My Commission GG 352016 Ex Commission 23 352016
3j ti Expires 07/04/2023 a Expires 07/04/2023
e " 1
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
- - BUII,DING PERMIT
qIT -CONTRACTOR AGREEMENT
ECEIVED
OCT 06 2020
T. L ie County, Permitting
have agreed to be
( ompany Name/Individual Name)
the (-I ez`fir';c Sub-contractor for f�i� - 90Gk S C O-/2 C-!
(Type of Trade) (Primary Contractor)
For the project located at S j ✓�r G� /
(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 ChaXofb-c actor notice.
{/
/IV
CO TO G (Qualifier) CONT CTOR SIGNATURE(Qualifier)
_7TI.
o h pck� �� ���M,R /14 0!/ ram
PRINT NAME PRINT NAME
13 o C/ 7 51 �uc
COUNTY C TIFICATIO(N NUMBER COUNTY CERTIFI ATION NUMBER
State of Florida,County of S wC T't: State of Florida,County of L 6L (y
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
C 20 ,b' / j r j=' G r ,20 ,by ft
who is personally known_or has produced a who is personally known_or has produced a
as identification. as identification.
STAMP N n A STAMP
Sigma re o otary Publie Signature of Notary Public
�z all
10
��►��"4e, Notary Public State of
�..A � Notary Public State of
DanyelJonas DanyelJoneii
y' c My Commission GG: 7011; o` MY Commission 4
?! c� Expires 07+�•tr1'. "• ?a n Expires 07/^.tr;. •;
a� .
Revised 11/16/2016