HomeMy WebLinkAboutSub-Contractor Agreement(Compare Name/Ind
the `�f
(Type of Trade)
For the project located at
PLANNING & DEVEL
Building & Code (
BUILDING
ividual Name)
ISSUE DATE I�n frCr20
T SERVICES
ce Division
AGREEMENT
for
(Primary Contractor
(Project Street Address or Property Tax
have agreed to be
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.l Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
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SIGNATURE (Qualifier)
r [
PRINT NAME
Q1,_
COUNTY CERTIFICATION NUMBER
52ONTRACTOR SIGNATURE (Qualifier)
L,, Alv i)r, s
m, IM
COUNTY CERTIFICATION NUMBER
State of Florida, County of :+Lc a4 State of Florida, County of P�k \ i N__�
The foregoing instrument was signed before me this � day of The foregoing instrument was signed before me this day of
20� by ' n&LN �� i Lim � 20 by j il +-1 iJ-� it�c AA AAJ
who is personally known _or has produced a �[ , r�i `— who is personally known or has produced a
as identification as identification
V STAMP STAMP
Signature of Notary PubiW Signature of Notary Public
Print Name of Notary Public `mac �`�_stateELLEN VAS ameofYota
MY Coornmiss a# GG 27�P blic C°re °f Fj�N ✓G i
mmission' E 007� °f�aP. °r/da. t'�N
m N
October 1 kPires ��u,n� tijP Cis Ion Notar
22, 2022 °m G y Pu
Ort°d �s?�r �2�C0� l
�. 202�ire9
Revised 11/16/2016
PERMIT # � � � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING
AGREEMENT
have agreed to be
(Company Name/Individual Name)
the 0 Irf—, Sub -contractor for 1Ak 112 lei
W141-1
(Type of Trade) (Primary Contractor
For the project located at T/,N W f
(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
i
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.
XSC SIGNATURE (Qualifier)
hlW// s
PRINT NAME
Q 1 A_
COUNTY CERTIFI ATION NUMBER
State of Florida, County of�� AQ
The foregoing instrument was signed before me this � day of
DQ020�bY ���i�o�� 1A IC1JY1�
who is personally known _or has produced a
as identification.
rAT
Siguature of Notary Publid
Print Name of Notary
Revised 11116/2016
I COUNTY CERTIFICATION NUMBER
State of Florida, County of CZ-k Q C
The foregoing instrument was signedbeforewe this A day of
20� by ZJ311, �J It 1 dAli&J
who is personally known or has produced a _F
as identificatiioon. n.
STAMP STAMP
Signature of Notary Public
ELLEN V ameofNota
State of FI 1 GIN ,N
orida NU
Commission # GGt 27p Public =®�� State Of LEN 1
My Corrlmissio 07,9 '�iiiiU;P ` Ornrn- �°riaa /V N
..,October 22 n�Expires y Co on k tart P
2022 Oct brni, ., ,2 p �lic
`�—_2. 0 kpirw�
worn Iti.
(Company Nam
the 4 U✓
(Type A Trade)
PLANNING & DEVEL
Building & Code (
BUILDING
ICA,►1
Name)
ISSUE DATE
1.7, 1cf.
PMENT SERVICES
,mpliance Division
AGREEMENT
have agreed to be
Sub -contractor for
(Primary Contractor
For the project located at Ti3Oe M
(Project Street Address or
It is understood that, if there is any change of status
Tax
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.
;7J
�' X'2 AA SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTC IFICATION NUMBER
State of Florida, County of —C �4
The foregoing instrument
was signed before me this ' day of
DeC20`by 6W�\
who is personally known _or has produced a �L L
as identification.
r
' V STAMP
Signature of Notary Pub
Revised 11/16/2016
g �rnnrTRaCTORSIGNATURE (Qualifier)
� II/I
U
COUNTY CERTIFICATION NUMBER
State of Florida, County of k \ Y _%___�
The foregoing instrumenntt was signed before me this day of
'�__, 20� by _1�� t, iP 11 1 (t
who is personally known or has produced a
as identification.
CJ V STAMP
Signature of Notary Public
stateF�\��
A4cof,ni.Flo j;C"N �' N
MY Cow /cn ,f C°tary P�
.1 rn rEk 200 ql
2. 2n�'0lr®a
the
PERMIT #
-L3
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PIERMIT
SUB -CONTRACTOR AGREEMENT
I
IC/► v
(Company Name/Individual Name)
6�C
(Type of Trade)
For the project located at
T)QZ,
have agreed to be
Sub -contractor for
(Primary Contractor
(Project Street Address or Property Tax
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.
RACTR SIGNATURE (Qualifier)
{ J 0 I'l A4✓ mils
PRINT NAME
QJ/-
COUNTY CERTIFICATION NUMBER
State of Florida, County of M�
The foregoing instrument was signed before me this A-,1-1 day of
20bY
who is personally known _or has produced a �L as identification.
STAMP
Signature of Notary Pub
UBf! CTOR SIGNATURE (Qualifier)
�� A / l►ems
U!!�=
COUNTY CER WICATION NUMBER
State of Florida, County of S�- \ 1 �
The foregoing instrumenntt V was signed before me this A day of
��- 20 by J 11 i'Jj It � 1 XAAAJ_-
who is personally known or has produced a f y z L c
as identification. (�'
�J V STAMP
Signature of Notary Public
Print Name of Notary Public ��� State ELL VAIJ ameofNota
9T� Comof Florida-
otarN
M mission # Y Public 3%��; Cate ofF, {�
Y Commi's. 27oo7ca �''�`;ii°„`' °'nmi lOj/du.lr�'G`�
ba
October 22 202 ires MY Cos'-cn iV Gotary pU
2 0
rto�2. 2, I999/
Revised 11/16/2016