HomeMy WebLinkAboutSubcontractor Agreement PECEIV D MM -9 `' ?31110
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
OUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
i
have agreed to be
,_(Co Dany Name/Individual e)
�eh Sub-contractor for
( fpe of Trade) (Primary Contractor)
For the project located at _
tce-
(Project Street Address or Property Tax I #)
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.
NT CTOR SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me this' day of The foregoing instrument was signed before me this day of
Wr66,f ,201-
A,by k9A A,,X SW%®15 ftA�F ,20_,by
who is personally known_or has produced a %, IN V who is personally known or has produced a
as identification. soy+;"•�,, DEANNA MARIE GIVENS as identification.
MY COMMISSION#GG 022023
EXPIRES:December 16,2020
••..gyp.•' Tbru NobKFkMnderwdters- STAMP
Signature of Notary P. 'c •""" Signature of Notary Public
Ib
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
RECER =D MM `" 017•
PERMIT,# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
iiai Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual e)
the QL 9 YM 4 1,n„a Sub-contractor for
Type of Trade) (Primary Contractor)
For the project located at _
(Project Street Address or Property Tax I #)
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.
K4ZCrOR SIGNATURE SUB CONTRACTOR SIGNATURE(Qualifier)
NAME&-,4917 1
PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of.`�d'.'_Al � State of Florida,County of
The foregoing instrument was signed before me thisjh�day of The foregoing instrument was signed before me this day of
W1w.f ,201a by ��e1�.�► ��®�® � ,20_,by
who is personally known_or has produced a a, who is personally known or has produced a
as identification "":""••
d:�tia•:.:;g��.� DEANNA MARIE GIVENS as identification.
.#; ;} MY COMMISSION#GO 022023
:,•; EXPIRES:December 16.2020
Bandail Thru Note �l lnderwriie_ STAMP
Signature of Notary Pu 'c q .A """' Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
RECEIVED P�IAR ; 7017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
460
l Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Vonhave agreed to be
(Company Name/Individual NWner
the A ,)n 1:C�1 Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at _ QIQ
(Project Street Address or Property Tax I #)
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.
6iNT CTOR SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
i
RINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me this�day of The foregoing instrument was signed before me this day of
W 46 T ,200 ,by 20_,by
e
who is personally known_or has produced a tb lb who is personally known or has produced a
as identification. �"'.""••
•.r+s � DEANNA MARIE GIVENS as identification.
' • = MY COMMISSION#GG 022023
EXPIRES:December 16.2020
..�.�P.' 77wNoteKAMndenxdters- STAMP
Signature of Notary Pu 'c """ Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
RECEIVED PEAR w 701,
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
Company Name/Individual e)
the Sub-contractor for
(Type o rad (Primary Contractor)
For the project located at
Add(Project Street ress or Property Tax I #)
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.
NWT SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
NT SAIM PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me thislkl_day of The foregoing instrument was signed before me this day of
W1 201L by ke,4�v.� ����� ,20_,by
who is personally known_or has produced a .re L - who is personally known_or has produced a
as identification. ,r�"as+:;'" DEANNAMARIE GIVENS as identification.
''P�-il MY COMMISSION#GO 022023
EXPIRES:December 16,2020
...�°�••' ThruNote� Undemdters- ---- -- - . - STAMP
Signature of Notary Pu�vic ""'" Signature of Notary Public
bale. . 4!�`.4s,
Print Name of Notary Public Print Name of Notary Public
Revised 11/162016