HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
a
• r
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the /C'C/�-' ' Sub-contractor for
(Type of Trade) ,D (Primary Contractor)
For the project located at ,� �Q / y��� ���� iL c�tw rT lei F;�C E
(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 SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Z /Jet„
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of'S�e.L11�g`` State of Florida,County of
The foregoing instrument was signed before me this"1�0 day of The foregoing instrument was signed before me this day of
20-13 by 1.,NS C ei h .20_,by
who is personally known____or has produced a who is personally(mown_or has produced a
as identification. as identification.
DIANNA MARIE GIVENS
Signature of Notary Pu 5 r t. Ay c OMMISSl6EB 022023 STAMP
:ate_ EXPIRES:December 16,2020 Signature of Notary Public
'•','ELF;op` Bonded Thni Notary Public Underwriters
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016
-�-- PERMIT 1S9UE DATE— -- _
s PLANNING& DEVELOPMENT SERVICES
•
Building& Code Compliance Division
f .
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Compan Name/Individual Name)
the XV-4,h Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at ,� �y��� f Zl f R r��-( 15-T
(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 SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
L Da ell
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County State of Florida,County of
The foregoing instrument was signed before we this 44 day of The foregoing instrument was signed before me this_day of
O t L .20 ja by .20_,by
who is personally known or has produced a who is personally known or has produced a
as identification. as identification,
,,,yy••. c- DEANNAMARIEGIVENS 0M __.____.,__ _ _
M_15S 022023—
'r' :*c "` - STAMP
Signature of Notary Pu
EXPIRES:December 16,2020 -- Signatare of Ndfary Public -. f
gundedThruNotaryPubUcUndeiwriters
y
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/20I6
—i--�-- -PERMIT#-- - - — —ISSUE-DATE— -- —
PLANNING& DEVELOPMENT SERVICES
Building& Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Indivtd I Name)
the �P CA D N'C el l Sub-contractor for
(Type of Trade) ,D (Primary/Contractor)
For the project located at /o �V f y�i• � �� �G67�( �T /0/1'r'C F
(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 Subcontractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of i 'L%5 - State of Florida,County of
The foregoing instrument was signed before we this"kS day of The foregoing instrument was signed before me this_day of
CX 9 Ir .20A3 by_L.�5`C`tr�n 1�r�1- .20___,by
who is personally known or has produced a who Is personally(mown or has produced a
as identification. as identification.
•••••, DEANNAMARIE GIVENS
OMMISSB:022023--- _ --- - STAMP
Signature of Notary Pu +: e*c EXPIRES:December 16,2020 - -Signature of Notary Pubuc -
yy •'•'•'.4,0�d��"�• Banded Thtu Notary Public Underwriters
Print Name of Notary Public Print Name of Notary Public
Revised I I/I6/2016
--PERMIT#— -- —ISSUEDATE— - —
PLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division
f R I D •
—- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Cozo
any Na e/Individual Name)
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the"project located at /o �y�i f Rod /—T to
(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 SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 5 .1stl�.'.�`�. 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
20"by 1.&S�Cw� Z�� .20_,by"
who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
,,•;,�•,",••• DEANNA MARIE GIVENS
•.�i
0
MMISS _022023_._ STAMP
Public-
Signature of Notary Pu *: �*= EXpkRES:December 16,2020""- -Signature of Notary Public -
„• :o:
% OF F��P• Bonded Thm Notary Public Underwriters
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Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016