HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
S
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t' �
have agreed to be
(Company Nar4e/Indi'0_dua1 Nari}e) V 6
the V IYt -✓✓ Sub -contractor for _9 g ,;, 6 � �f P'Vi
(Type of Trade) (Primary Contra tor)
For the project located at L `[J(J-A 1JUTVI
(Project Street Address
L
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.
CONTRACTOR SI URE (Qua i er)
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of LoCA -
The foregoing instrument was signed before me this day of
, 2090 by t �V" \I -
who :,�ti/efltn,,"
lly known �or has produced a
as id.. // I
r�k- e— — "'f't/ � (� — STAMP
Signature of Notary Public
Print Name of Notary Public
�,►a Notary Public State of Florida
Christine A. Marsh
My Commission HH 026766
OF Expires 08/02/2024
Revised 11/16/2
SUB -CONTRACTOR NATURE ( u ifier)
PRINT NAME
a
COUNTY CERTIFICATION NUMBER
State of Florida, County of qk, -1 C
The foregoing instrument was signed
before me this & day of
20bby 1i./� r )(-
who is personally known }C_or has produce a
as 7z"
STAMP
Signore of Notary Public
�m
Print'Name of Notary Public
a
llotary Public State of Flonda
Christine A. Marsh
My Commission HH 026766
Expires 08/02/2024
PERMIT # ISSUE DATE
(Company N
the C IF e %
(Type of Tra,
For the project
It is understood
project, the
filing of a Change
CONTRACTORy
C2
State of Florida, County
The foregoing instrument
203
who is personally known.
as identification.
Signature of Notary
MI
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e T2►C��o�er'r �� yu
ne/inaiviauai name)
'tC .4 �-
have agreed to be
Sub -contractor for 10001, 6S/ k %Z e _ c
q /�
(Primary Con actor)
at V3 �1 �6T'f, O
(Project Street Address
L
Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
Ir-
N NUMBER
is signed before me this) day of
by `� a , A.11�
r.or has produced a
.A V� kVU411LICI)
ROLef-T Q k
PRINT NAME
/ 98 y57
COUNTY CERTIFICATION NUMBER//���
State of Florida, County of �_ lW.l..t,_
The foregoing instrument was signed before m'ye this _I I day of
�— VIC , 2Q by �ppL 1 W Xz
who is personally known Ypr has produced a
as identification.
STAMP STAMP
Signature of Notary Public
tmovv A—,
yv INY�R D t
Print Name of Notary Public
"sIf �r,4�r Notary Public State of Florida
A Thomasina Bowins
Revised 11/16/2016 pAy Commission GG 201733
E),pires 03/29/2022
Notary Public State of Florida
e A Thomasina Bowins
W Commission GG 201733
t.
{..'� Expires 03/29/2022