HomeMy WebLinkAboutSubcontractor Agreement r
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &-Code Compliance Division
o
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C I- M�tOt.l ��LS SAS 1l.1 G, — Y►T7 Iv1 S have agreed to be
Company Name/Individual Name)
the ( �� Sub-contractor for MPu� I p -pooL •� ���
(Type of Trade) (Primary Contractor)
For the project located at pLXT-T' ?L AC1E I Q02T 15;v LVG11=�
(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. i
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
CPC05-72J59 �QG-0 J!'-�>7 239'
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of p�V(_e�-+ State of Florida,County of S7,461 A 1!3 }
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 9i day of
20 +by N4—w-c L ,20 7,by
who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
STAMP / STAMP
nature oC Ny Public nature of N Public
1S h1A-//NI. ''1�C5. Q17 Z� �1�1� F�e1 ARIA• �1 Z_�J
Print Name of Notary Public Print Name of Notary Public
Y ANA MARIA RIZZO
Q NOTARY PUBLIC t ANA MARIA RIZZO
o _STATE OF FLORIDA
NOTARY PUBLIC
"� a COMM#FF921331 0 _STATE OF FLORIDA
'S'CE 1 It Expires 9/23/2019 ('omm#FF921331
Revised 11/16/2016 'E 1 Expires 9/23/2019
Pf RtV31T.f -. ISSUE DATE
PLANNING , <I �' [' I. )1' 1'I I'.vTt .IZ1'`t .IJ
`` l .tlilcli"rru` C'od ~�.'dm
+ .iliniiU Divisiolr
I
y�+����411-i�r.�tC .is t�.s 1•s
lti..
its ,.� t.t•�1 i . ,.....r--�.,,_.�-
`'`` " BIJILDIING-1'rRNI-1T
A(AZ1 -NNI NT
j' i�i�sc zl�t�����cl to lei;
(Co>_�van Nnincltndiv IJ."a1
1)h-t oFltl'c"! or (.61
(TyPQ ui flail(!) ii? it?ir s C;aartt;�sca4 r� --�� A-
For the r( ect loca . l .;t
c. I l � i�c �t. .�:�-� :.L.�'T I ' _
{1,'lc jc'Ct St-Ocet Adell'es�.ia6'lytit�?t5t"1,} I R ft)
It is tt,t7tles cud ili,It zi'tli�i�,i5 iz��t el�:,nt; I. tzliils tta` u`cliMT 0111' izilrtie.ioaiion withtilC a(�:I�>t. mention L�l,
l�rc?jeci, thti Buildin(f:Intl C_ocfe.Ref ulatiol"f blvision of-St. L ui it_ Croul:t;' Will b .:ICI iSCd pursuant-to tf3
!:dill= Of'U t IMI,12C O1 SU _L(3ntT.actor notice.
t�f)V'a'It;CL 1[}Itilf.A;1`f�C 32I-(Qu:yidter) Ii13__c &IZ71 l:�1( �i�t'f'URii 1f?t�aEiiicrj
1 121� i ;�,illl; 11R EN,i ,N vAI
C,t)1=rNTY(l H-1'IFIC ATION' �1.==:1113L1C r 1 5 C.Eff, !U\111_1114i I�
St ttc i}i'Hkiriila.Comm-tIl' -�'r—' "Mato fif l�tnrir{is,�t'utttttr��i!" 0
'1 he fore"oiat iristrumenE tis I+,cir Heal Iteturi•Cite tllis, � tl;t�"�{ I1tc=t'tsrc=)(ling in,,4rntitei 1 tN i�si=nail hcftrre the this
��1ni i persiytiattr I:nit�su_,_ ur ltas p Wflt Vd:i who k person"IIlly i;nim 11
:is i f ntliicailoa. :c i:Irtttiticatiioii.
p�ttiRYa At1A M.�II,RiA R1?Zt1 t, � -
�' N i 2Y PUaLt
r:
Ir 1 r „L f x STATE 0 r'L0 V), T "/r "�" _—/ L' � ti!'>\m p J% �_
�.trirfarc rr�'StMtaty hlilie �C.C)mitrF921331 Sa„tt:itai.t `tstin Public
J _' E�coires�1�31201.9
L/
Yt iitt :nur df tivi:ir� I'llblic' E rites\+on.gsf�tpt trc i'ui�liz
LYNN BELLIZZI
x MY COMM'S'w{Oh x FF 137 io
F EXPIRE$:ally 22,20i8
?0r4e01rro3;;d;INo!2ry6avi cs
PERMIT# 7�3 D cj Zit COOL) ISSUE DATE
PLANNIN G & DEVELOPMENT SERVICES
Building & Code Compliance Division
® BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
e}-k�M P i O t•! �GD lh �P (jLr - ]a4.y 1�2 �.o-l�-t S have agreed to be
(Company Name/Individual Name)
the 'Fi_OM 81�_j r� Sub-contractor for GF M QtO�� 9oOlh i'..(h12As I �
(Type of Trade) (Primary Contractor)
For the project located at p p,--53 yr)0 �-r l_UG►� �� L 34�8
(Project Street Address or Property Tax I15#)
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)
R4y l•D 13ZA_-Ht�& 12o v 1p � S
PRINT NAME PRINT�NAME
CPC0572i6!9 [e;7GO 57.
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of �rLA1_-+3V-4eW State of Florida,County of :VAL-H Q3'�-f 4
The foregoing instrument was signed before me this 5-Ihday of The foregoing instrument was signed before me this 5 day of
20Z by PJ&V 1 p—ZNEA !!J 15, AO 20_a,by P.PrV113 8VW4�5
who is personally known_V_/or has produced a who is personally known_or has produced a
as identification. as identification.
0 STAMP / STAMP
afore o7��Public Si nagture of ary Public
Print Nameswislielur-_
ilNA ZIA RI710 LA
Print Name of Notary Pub ic �Z�
NOTARY PUBLIC �y ANA MARIA RIZZO
STATE OF FLORIDA a NOTARY PUBLIC
Comm#FF921331 STATE OF FLORIDA
Expires 9/23/2019 Comm#FF921331
Expires 8/2312019
Revised 11/16/2016