HomeMy WebLinkAboutSubcontractor Agreement RECEIV-D P4AR 21 2017
PERMIT# ISSUE DATE
PLANNING.&?:DEVELOPMENT SERVICES'
Euildn>r>ig&Code,C-ompliaace.-Davisio>m
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
/(Com any Name ndividual Name)
.theP`il t! t Sub:contractor for C 1 �ndrt'�Te_�oa(5
(Type of Tiade) {Arimary,Contractor)
For the project,located at ��� ► I1 l•P�
-(Pioject Street Address of property Tax ID,#)
It' s:urlderstood.that,Ifthere is,any change ofstatus re'garSirig our,participation with the'above mentioned
project,the Building and-Code Regulation Division of St.Lucie Cour4 will be advised pursuant;to the
filing of a Change of Sub=coat actdi notice.
C0 S TURF(Quaker) SUB C NTRACTOR SIGNAT ualifier)
lam/t
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER; COUNTY CERTIFICATION-NUMBER.
State of Florida,County of�• State ofI7 9 �rorida,County'gr_ �
The foregoing instrumentwas si;,ed hefore me is .day o The foregoing instrument was.signcd before me this day of
ZO by 20�byG✓1-� .
"ho is a soually " own" r has.pr'O' a who is " onally-known or has produced a
as i nti ca8o as id n icatio .
STAMP STAMP
nature of otaryPa lic gai;19
ry' uhlic
_; ' �:_ FARAD HER AN EZ FARA D HERNANDEZ
MY COMMISSION F172 19 MY COMMISSION#FF172419
EXPIRES October28,2018 PIRES October 28,2018
(407)398-0153 FloHdallotaryService.com �3 FloridaNctaryService.com
17917
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
0
- — — -- -- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Ahave agreed to be
(Company Name/Individual Name)
the PL'LTMRT G Sub-contractor for A & G CONCRETE POOLS
(Type of Trade) (Primary Contractor)
For the project located at
(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
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 (Qualifier) S -C N TJT uali6er)
JAMES T. LEONARD JAMES T. LEONARD
PRINT NAME PRINT NAME
25959 25959
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ST. LUCIE 7, State of Florida,County of ST. LUCIE
The foregoing instrument was signed before me this l✓ day of The foregoing instrument was signed before me this L day of
20-a,by_JAMES. T. LEONARD JAMES T. LEONARD
who is personally known for has produced a who'�ersonally known or has produced a
oiignal.r tific as' e 'fica'
STAMP STAMP
e of Nota ublic ignature of Notary Public
FARA D. HERNANDEZ FARA D. HERNAND
Print Name of Notary Public Print Name of Notary Public
FARA D HERNANDEZ
e'
_•` MY COMMISSION#FF172419 _:r°:�� .�;;-FARA D HERNANDEZ
''i ofoe. EXPIRES October 28,2018 MY COMMISSION#FF172419
(407)398.0153 FicridallotaryService,com •v' °f
••-.•'�an�;.�` EXPIRES October 28,2018
Revised 11/16 (407)398-01S3 FloridallotaryService.com