HomeMy WebLinkAboutAC UnlimitedPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
Ai
the c, n1.�-. . Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
have agreed to be
l
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
(fiting,of a Change
hfNA Soo (Ie* tc4e
PRINT NAME
� QC.1331 \11
notice.
COUNTY CERTIFICATION NUMBER
State of Florida. County of tyt 1Qr —1
The foregoing instrument was signed before me this 1 day of
Ncvwqelf-.20ig gnmi-,A�eAn \en Ac
who is persotufiy known or has produced a
as
P7raY-\6I \M'-darn«rg
Print Name of Notary Public
BRANDYN MCNAMARA
My COMMISSION # GG032190
g.
EXPIRES November 27, 2020
Revised Il/I&'20I6
SVB-CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
437Z�7
COUNTY CERTIFICATION NUMBER
State of Florida, County of -ir • 11w1.l
The foregoing Instrument was signed be`�
fore me this nday of
,. 202Q by kkJF1fLF-d
who is personally known V� or has produced a
as Identification.
STAMP �_ � U�i:� STAMP
Signa m of f Notary Public /
Print Name of Notary Public
Wa Notary Pubac Stab of Florida
N
Debra S HUM
j a 919540
COUNTY
F L
O R
10 A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
Ai
the c, n1.�-. . Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
have agreed to be
l
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
(fiting,of a Change
hfNA Soo (Ie* tc4e
PRINT NAME
� QC.1331 \11
notice.
COUNTY CERTIFICATION NUMBER
State of Florida. County of tyt 1Qr —1
The foregoing instrument was signed before me this 1 day of
Ncvwqelf-.20ig gnmi-,A�eAn \en Ac
who is persotufiy known or has produced a
as
P7raY-\6I \M'-darn«rg
Print Name of Notary Public
BRANDYN MCNAMARA
My COMMISSION # GG032190
g.
EXPIRES November 27, 2020
Revised Il/I&'20I6
SVB-CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
437Z�7
COUNTY CERTIFICATION NUMBER
State of Florida, County of -ir • 11w1.l
The foregoing Instrument was signed be`�
fore me this nday of
,. 202Q by kkJF1fLF-d
who is personally known V� or has produced a
as Identification.
STAMP �_ � U�i:� STAMP
Signa m of f Notary Public /
Print Name of Notary Public
Wa Notary Pubac Stab of Florida
N
Debra S HUM
j a 919540