HomeMy WebLinkAboutSubcontractor Agreement PERMIT# r`q0 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
---
� - � RECEIVED ,
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT SF P 1 2018
ST, Lucie County, Permitting
have agreed to be
(Company Name/Individual Tame)
the " c G h A-,-) 1 CA-(; Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 70 g F6,0d tj c�J'-b c 3 41
(Project Street Address or Property Tax 1h
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.
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CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATUR QualiIt )
,��,r� �� !IL4 n.0 ern
�2c� i l
�Tl NAME PRINT NAME
30 /��.
A"EMIY CRTFICATION NI ER y COUNTX CERTIFICATION NUMBER /
State of F orida,County of ty State of Florida,Coun of�Qc/(l(i�Q+
f
The for oing instrument was signed before me thi day of The foregoing instrument was signed before me this day of.
20 by ' (/ tJ� ,209 by /l l(3/1/7.� / -1�r!lC'
who is personally known_ r has pro ced a �'C, �(_ who is personally knownx—or has produced a
as identification. as identific
� ST.4,MP a STANIF
Sig ature;FNNotary,Public Signa �c
Print Name of Notary Public ;4322;"is3
e i e
KAREN S. NIELSEN : MY COMMISSION#FF245969
PVB�,� State of Florida Notary Publ c EXPIRES Jufy Ot,2019 i
Commission # GG 207464NTres My Commission Exp' Am
� June 12, 2022
Revised 11/16/2016
PERMIT# ISSUE DATE
zE e . PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ,� , ,
-F a ED
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAR ? 0 HV
r{ have agreed to be
Company Name/Individu ame)
the kw ftq Sub-contractor for L n k)f1(' MCI Its
(Type orade) (Primary Contractor) -Q T— �_
f T
For the project located at
(Protect Street A dress or XrOperly 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.
NTRACTOR SIGNATURE(Qualifier) B-CONTRACTOR SIGNATURE(Qualifier)
Pan InTA"J'R Mff1_'-qJ
PIUNT NAME PRINT NAME JW QQ��
n if
a
COUNTY CERTIFICATION N MBER COUNTY CERTIFICATION N ER��77 _
State of Florida,County of- ly State of Florida,County of
The foregoi g instrument was signed before me thisC_@Dday on `Q The foregoin instrument was signed before me Aday of
20 by '1 Irla0� ffic 204 by �1 f/9
who is personally known or has roduced a k who is personally known or has produced a (�
as identification. as identification
=:::�Wk A I STA �� STAMP
Sign toe of Nota Public Signature of of ry ublic
S. NIELSEN
Print Name of Notaryy u lies", KA R E N S. N I E L S E N Print Name of Notary P 11 `
°c Commission R FF 115537
,- - -
=� �= Commission i7 FF 115G37 a e My Commission Expires
My Commission Expires °o;;�NF�°;` June 12, 2018
June 12, 2018
Revised 11/16/2016
PERMIT# ISSUE DATE
^y PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division RECEIVED
- BUILDING PERMIT pp
SUB-CONTRACTOR AGREEMENT MAR a- O 2Q'�
PERFd11TTi1%1G
St. Lucie t ilia',.. FL
md n f 4q,k l have agreed to be
(Company Name/In ividual Name)
the I�ps�Z1 ll �� Sub-contractor for tia t,3 106ef I JZ
(Type of Trade) (Primary Contractor)
For the project located at 4"
(Project Street Address or Itroperty 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 SIGNATURE(Qualifier) SUB-CONTRACTOR IGNATURE(Qualifier)
Lat\� me"� B Wpx�cz Leam JiA
PRINT NAME PRINT NAME
"fle, a i vapff-lAilt,
4COTY-CERTIFICATfON UMBER COUNTY-CERTIFICAIION N ER
f, yy
State of Florida,County o �y, State of Florida,County of IV
The forego'ng instrument was signed before me this day of The foregoir instrument was signed before thi60 day o
r� I ICJ
it L/
TDO . 20 ,by 8V`��/ 20 r +by
who is personally known_or has produced a who is personally known or has produced a
as identification. as identification.
STAMP '�--� STAMP
Signature-of No ta ipP ubh Signature of Notary Public
" o' KAREN S. NIELSEN
KAREN S. NIELSEN ``��PN
1 1 5637 8 FF 11 i, s
Print Name of No
_ Commission Print Name of Notary P j' *___
_* *= Tres My Commission Expires
My Commission Exp - +w F•' 2, 201 8
June 12, 201 8 t° «° June 1
,...
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Revised 11/16/2016