HomeMy WebLinkAboutChange of Subcontractor Permit #2010-0432_000033PERMIT # C00 (O 64 c� 13SUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
' VS r-c, 4 f LL L . have agreed to be
(Company Name/Individual Name)
the 4-Z �x Sub -contractor fcr
(Type of Trade) (Primary Con_ractor)
For the project located at a c p,�,, r. '3 n 1� 7^,o,�,s P, ��kctc_kt ' _ L 3 s 7
(Project Street Address or Property lax 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.
Cac_ tZll �509'
COUNTY CERTIFICATION NUMBER
State of Florida, County of tST. W,�
The foregoing instrument was signed before me this day of
20.Q0by l "T10, :IlaI.t.lrK
who is personally known or has produced a
as identification.
Signature of Nota
AlIth8084 *rr
Print Name of Nofary Public
MICHAEL RAAZ
' Commisslon # GG 318620
°� Expires July 28, 2023
Revised 11/16/2016 -1 rF1.oQ� Bonded ThruBudget Notary Services
ONTRACrOR'5[GNAT!E(Quallflcr)
.vr
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'a° av-A +Y\,
The foregoing Instrument was signed before me thisa day of
`FwrY'lstvP . 20W by .�Jea atx.t".. � '1f ,Aje
who nx ykuo n� _orbas "Re'F0-.ttc_ flr cr'S
_ - X _ s is -^ S..a
as iderdfiestion.
_a_,,,
STAMP
Signature of Notary Public
;t "!
KAREN CODERRE
cc) a
e.
My CO�MNISSION # GG 981001
Print Name of Notary Public
%.P ��?;'
FEXI RES; April 23, 2024
odad
MW 1+fata►Y Public Underwriters