HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�cyal C have agreed to be
(Company Name/Individual Name)
theSub-contractor for RW C0N9_-!C' }�Qs1
(Type of Trade) (Primary Contractor)
For the project located at
Street Address or Property Tax ID #)
06, Li' b +
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.
CONTRA OR SI(9NA,ToftE (Qualifier) SUB-C RACTOR SIGNATURE ( ualifie
F
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PRINT NAME PRINT NAME
C&, ) 3 Z_Z Z:
COUNTY CERTIFICATION
11NU' BBER
State of Florida, County
The foregoing instrument was signed before me this _ day of
S_, , 20�, by
who is personally knowor has produced a
as identification. �((�� � n� UIZ K � --STAMP
Signature of Notary Pu lic � — `' 1
Print Name of Notary Public
OWZ*� BARBRAAGOODMAN
s ��' Commission#GG19813S
Expires Mamb 20,2022
��oF��e ea�aeamuaudg�ttuorarys,
Revised 111W2016
/0$ 9Z_
COUNTY CERTIFICATION` NUMBER
State of Florida, County of \
The foregoing instrument was signed before me this day of
, 2QQ, by !j c\v2c r
who is personally knownor has produced a
as identification.
STAMP
Signature of Notary Public
am�- S�x
PFRt Name of Notary Pubic
?01►�„ BARBRIIAGOODMAN
* * Cominis M itGG 198133
' f W020,2022
B�GgBINmarySerrkp
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PF-RMI-
6'(JB-CO-r TR-k TQR My-REFviENT
�� r--�6.46,
(Compsn} Namellndlvtdual Name)
Sub -contractor for
Mpe of Trade)
For the project located at Jg36 - 60( -- cow=oop
(Primary t:oatraator)
(Project Street kddreSs or Property] Ta<Y ID}
have agreed to be
-i►>AOZ- L,61 b -(fi
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 ova Change of Sub -contractor -notice.
OR SIG!— URE (Qualifier)
?VA?qf;
Cam) zzng
COUN I x CER raflcATtorq nUI iBER
State of Florida, Connty o�
The fo rcgoing instrument was si d before thl\S 6 day of
wbo is persrnytiily known�or bw.s produced a
��aOPQr
Revixod 511164,.W6
COUN-rY CERTIFICATrON NUMBER
state OfFlorida. County oi:T���C %�
The fgriay lastruettent nv$ yl~\ed\befUxe me thfy day Ut
who is personally Imoa�or has produced a
as Identification-
STAjVW STAMP
Signature Uf XNOta Pala c Y
o f o; D\s - Q06,
Print Name of Notary Public
BARBRA AGOODUM
Commission # GG 198133
ExoBs March 20, 2022
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BARBRA AGOODMAM
Commtasion # GG 198133
e
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EVkw March 20, 2022
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PERMIT#
,MIT# fSSUE'DATE
PLANNING: & DEVELOP114ENT SERVICES
.Duilding 8;. Qode Com�ljajtoe I)ivi-joti.
have agree!d to be
Sub-convactor for
For the, pGO
roject loOted at:
Le
or Propeny Tat tip 10
It is'understbod that, 'if -there is any chance.of srat us reg tdirg:-Otffp�ft'icipation ith theabove mentioned
projeq,'the Bufldin*g and Code Regul-tion Dii ion of.St..Lucie Couh «Jll 4a advised-pUrsu nt t6, the
pf-S b ' U. 0,
ti rcon *a oVnppcc.
i;v
state of Fiarldni County
h, insirlmeint wiLstip6ci bdorcc this* -:o .rn
AlTe Core!Oing e �elft
ns.hleut' crication,
Si nre,001lotirs, public
_may . . . . . . .
pri"C'Name dA 6� Public'.
IPV,�. JOS.H.UA'REDHEA0
r21v
� -`,Notary Publlc-$ * tatii*.of Florida
Revised 10164 Z, Cam' mi'ssion # Gd 311165
ora aria ��MY COMMISSiOn 'Vires
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Ordh 134 20 3
R's-CO N-rPlACTO W; �NqftRquo qmiij
PRI,%7 NNAME
COLNTY CERTTFICATION NUMBER-
$tAte County of..
The f6rea ing instrument wassigned -before me. I& A�day of
12QAR Oy &169Y
Who Ls, produced a P - - - - I
as lde�siricattpn.
Sump
s Ove. UNWary Fuhk
,701M 1,4:- A&v
print Name jof.\6pry PubliC
AD
Notary P,uhllc a e.qf Fioricla
E
co
8 DATE
PERMIT#- --J I I SUE -J
PLANNING'.& DEVELOPMENT SERVICES
Building.& Code Compliance Division
Name)
the
(Type
For the project located, at
,DU1Lb1N(; PERINtIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor}
Street Address .or
a
have agreed to be
4.
It is understood that. if there is anv. change of status regarding our participation with the above mentioned
project, the Building and.Code Regulation Division of St. Lucie County will be advised pursuant to the
rl
RRIN-17 NAME
Sub -contractor notice,
COUN-rY CERTIFICATION NVNIBER
.State of Florida, county SA
or - I?—
,
The foregoing Instrument wnssign
ed before me this day of
21M, by.
sybo is, Personally k, ^1. or. hss produced a
cl i; en fificatio a.
Signature or
Revts-d I U146j2n16
S13.$-CO\T%kCTOR SIG.NATURE (Qualifier)
..&Rep -
PR IN"r NAN IE
eWL9S-76-J-) -
COL-NTY CERTMCATIOX NtG,,NTBER
State or Florida, County of Ur— %�
'The foregoing instrument wassigned before me this day or
who is personally known 1-1.r bui produced
is identification.
1� (QL TANIP 4�.4 e. STANIP
Signature of'Notary Public
bAaD e- Drh---Tl-1
Print Name of Notary Public
BARBM A GOODMAN
Comadsslan # GG 198133
March 20,2022
r*1WC7* E*m 6WA8dftU040NdxYSW4=
of Notary Public State of 0
David Carl Car,
avDeWitt
05
My Commission GO 294556
Expires 01/17/2023