HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
•
Building&Code Compliance Division
- -- — -- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT i
C allo C- �►yE¢Si>=JE'� ScQvtct;s have agreed to be
(Company Namelindividual Name)
the GAS P I P t N c,- Sub-contractor for G M do ntsTieuc-riDA)
(Type of Trade) (Primary Contractor)
For the project located at $o o N uJ W i t,)IMeS C R'EE K koct of
(Project Street Address or Property Tax M#}
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.
CONTRACT01 I T c(Qua or) /� SUB-CONTRACTOR SIGNATURE(Qual ler)
.er?-Q� 7V ir-IRN VA. 0fe1-r1)ppP
PRINT NAhn: t PRINT NAME
t94l 13
✓ a10-7c)
COUNTY CERTIFICATION NUMBER ,^ COUNTY CERTIFICATION NUMBER
State of Florida,County of 4 6 1 1 State of Florida,County of Mn3dhQ
The foregoing Instrument was sl before me hb day or The foregoing Instrument brat signed before me this o day of
L� ,2aby (D TA r CSa_,20J1 byTYte Q nb nq4,
i
who Is personally known X,,,pr hat produced a irho it personally(mown i or has produced a
f
in idea adon. as identification.
uuY snva
ARY Pompstare of Notary Pub c , Signatu a of ary PublicWAL%
STATE OF FLORIOA
`
Print Name of Notary Pubile f Print Narhe or Notary Public
OEBORAN 6ROfA0VSKY
Notary Public-State of Florida
My Comm.Expires Jun 21,2018
Commission r FF 106794
R
_ s
PERMIT# ISSUE DATE
x-�-- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
— -- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C A N o C. b�v 6 rz.S 1 F 1 r'b S erzv t C 1;s have agreed to be
(Company Name/Individual Name)
the GA s P i p i N&— Sub-contractor for G M Co ofSTRPC7-/DN
(Type of Trade) (Primary Contractor)
For the project located at o O N W W 1 "-rt P S C P-�_7P_K R oct of
(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)
$(ZIRN (M. CRITppq-
PRINT NAME PRINT NAME
a 1 0-I q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of�t
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this a(]day of
,20_,by TAQpC (-\ ZOO by TYk ex \
who is personally known or has produced a who is personally known i or has produced a
as identification. as identification.
p1AR
STAMP 'fro Y LILLY SILVA ARY P69INLAP
Signature of Notary Public Signature of Poary Public g -
ESTATE OF FLORIDA
I \V�` c \ o y 1\U Cantu#FF194444
!�
4CE191� Expires 1/29/2019
Print Name of Notary Public Print Nan a of Notary Public
Revised 11/16/2016