HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
r
i
N
have agreed to be
(Company Name ndividual e)
the ` Sub-contractor for
e of Trade Prim Contractor
( YP ) (Primary )
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.
6iNT CTOR SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
1
RINT NAMIE 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
V4%06< ,20%�,bY � 0.�� ��®� � ,20 by
who is personally known_or has produced a who is personally known or has produced a
as identification "":""�•
•�a: , DEANNA MARIE GIVENS as identification.
MY COMMISSION 9 GG 022023
EXPIRES:December 16.2020
.^•�P••' Banbd TIw NotaVAh Jnderwdters- STAMP
Signature of Notary Pu 'c Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
Revised 11/16=6
i
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
COUNTY.� Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual NWneT
the icOa4akalg Sub-contractor for
( �, of Trade) (Primary Contractor)
For the project located at �L+ _
(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.
NT CrOR SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
RINT NAMEE PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of&I
V.�+� $ 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
WYA ,201L by (Ley ,X ���a7�4��S ,20 by
who is personally known_or has produced a a, who is personally known_or has produced a
as identification " ""
•.�:.,'•• DEANNA MARIE GIVENS as identification.
MY COMMISSION#GG D22023
EXPIRES:December 16,2020.•..�P••' Randad Mo Nota§TAMnderwdters- STAMP
—
Signature of Notary Pu 'c """' Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
Revised 11/162016
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C/ have agreed to be
(Company Name/Individual XqJneT
the n ti 4'7 Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at c �L+Inn a 0 oc_
(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 CrOR SIGNATURE SUB-CONTRACTOR SIGNATURE(Qualifier)
"KINTME 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
W146< ,20a,by kc,4 .,x S%\!a cA t 20—,by
who is personally known or has produced a ®. Ib 9 a who is personally known_or has produced a
as identification. ;'�k DEANNA MARIE GIVENS as identification.
MY COMMISSION#GG 022023
-'� to EXPIRES:December 16.2020
••..o"•rSai3de 7hm Not ANA!nderwdtersr — — STAMP
Signature of Notary Pull& "" Signature of Notary Public
Print Name of Notary'Public Print Name of Notary Public
Revised 11/16/2016