HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECETVEb
BUILDING PERMIT
SUB -CONTRACTOR AGREEMEN� NOV 2 6
zY
9T, 6dElb'95WIP)lo Permittin
have agreed to be
(Company Nan(e/Individual Nale) V I.
the V rye Sub -contractor for9 p S'6 N Y 1
(Type of Trade) (Primary Contra •tor)
For the project located at 'A
(Project StreetUddress or Property Tax VD #)
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.
It - LAZI� z_X=L
CONTRACTOR SI URE (Q lifier)
TeVr�l W � X
PRINT NAME
,ASc 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of —4�& U,)Gl e
The foregoing instrument was signed before me this day of
who is personally known or has producEd a
r
SUB -CONTRACTOR "
RE (Q lifier)
l trry w"X
PRINT NAME
Q15'3--,+ l
COUNTY CERTIFICATION NUMBER
State of Florida, County of . L06 e.
Thee foregoing instrument was signed before me this JD day of
N Vim+ 20_R, by
who is personally known _or has produced a
as identification. A as identification.
-V STAMP -V
Signature of Nota edblic Signature of No y Public
y i �/ �� J�
l J/I � EoJDn �1QAof*Notary'
� i 11 U/�I l �,�
Print Name of Notary Public �— Print Public J
Notary Public State of Florida
r Sabrina
M Arrington
N w/ EExxpirees 0812 2023 908279
Revised 11/16/2016
STAMP
Notary Public State d Florida
Sabrina M Arrington
R
My Commission GG 808279
Expires08/27no23
EMIT
# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Complianc DivFsk—,( EIVED
BUILDING PERMIT NOV 2 6 O"y
SUB -CONTRACTOR AGREEME T
ST, Lucie County, Permitting
Pa y a A CiCeT(Icljeo�e" ' �ayu it
' (Company
the C- L e e
(Type of T
For the project
It is understood th
project, the Buildi
filing of a Change
PRINT
State of Florida, County c
The foregoing instrument
20J
who is personally known.
as identification.
Signature of Notary.Publi
Print Nime of Notary Put
Revised 11/16/2016
tQAL—
at
have agreed to be
Sub -contractor for 100cok 6 y � R e9 - jve,
9 (Primary Contfactor)
(Project Street Addre4s or 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.
N NUMBER
i
its signed before me this.X day of
by � ^ v�� A %',Z
or has produced a
STAMP
r �a' `�!9y
Notary Public State of Florida
A Thomasina Bowins
rrtks
MY GG
ssion 201733
fflv
o,
Expires 031l29/2022
(Qualifier)
Rober-r-/ 000,y u k
PRINT NAME
/98y
COUNTY CERTIFICATION NUMBER
State of Florida, County of=�
The foregoing instrument was signed before me�this
`2aDday of
20f-A by 11 i fX
who is personally known or his produced a
as identification.
__':4 STAMP
Signature of Notary Public
�&&MmAf\& vns
Print Name of Notary Public
y Notary Public State of Florida
e A Thomasina Bowins
�• e My Commission GG 201733
Expires03/29/2022
OR