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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMQT
SUB -CONTRACTOR AG FFMENT
J , r IL� V14 �1 1 f i W Y) P ` i�Ja(t have agreed to be
(Company Name/1ndividual Name) �—
the ` (471(., Sub -contractor for V4__rH � 'F L LLG
(Type of Trade) (Primary Contractor)
For the project located at 307� VYy-)�ir CGI-dCh Pklm j 1301 o © - 03-'-R. WD •�5'
(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.
CONTRACTORSIGNATU er)
hA
PRINT NAINIE
GGG 1511 L4618
COUNTY CERTEICATION NUMBER
state of Florida, County of Sat
The foregoing instrument was signed before me this r day of
ift 20,gby MGM-�'�7—r�C )d1 -
who Is crE Uy known or bas produced a
as identification.
-A." STAMP
Signature orNotary Public
+geQrt&" Dakitin
Print Name of Notary POW
�� HMS C DtaftYtt� Fl�
• j Mtr Cortm aien HN 020DIO
%a j E)#Aw 08o =4
Revised I ill6/2016
[ 04 - -
COUNTY CERTIFICATION NUM$
State of Florida, County of `,mino 1
T6o-foreeolae Instrument signed before we this S day of
�' by 0
who Is personally lmowa or has produced a
,wuu;,
���;,; SAMANTHA STANFORD
•' "'= Commission # GG 48974
r�
_. _
;3 a My Commission Expires
November 20, 2020
�h,nua
STAbIP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
One Stop Cooling &
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
LLC / Zachary Boera
have agreed to be
the Mechanical Sub -contractor for ! D-H ' FL LL—C
(Type of Trade) (Primary Contractor)
For the project located at 6 3C) `1
wnt_lc�
(Project Street Address or Property
30Hook • G34'?I ,WO-._S
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.
GGG 15114518
COUNTY CERTMCATION NUMBER
State of Florida, County of _wnft�c
The foregoing instrument was signed before me this � day of
A u/1�if) J;gby MCe,,Dc"'dt-1I.
who Is persoaall known _or has produced a
as identification.
STAMP
Signature of Notary Public
Heatt-er Da,htin
PriatNamearNotaryPtihilc '
�I Nowp Public: S" *IFWW
�F N.cS: c overt
E ►iri tlmooto
Revised I IIItV2016
SMC TOR SIGNATURE (Quditier)
Zac ry Boera
PRINT NAME
CAC 1817652
COUNTY CERTB?ICATIONNUMBER
State of Florida, County of ORANGE
The foregoing instrument was signed before we this 16th day of
September , Eozo , by Zachary Boera
who is personally known X or has produced a
asldendUc:1�
STAMP
Signature of N
Kelly Ashlock
Print Name of Notary Public
$C01i)
Kelly Ashlock
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG969901
Expires 4/4/2024
0 . 0
PERMIT JX ISSUE DATE
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
agreed to be
Sub -contractor for ti! a"H ' 'FL..LLG _
(Primary Contractor)
(Project Street Address or Property Tax ID
'got - Ipo 5 a345- QCP Y
It is understood that, if there is any change of status regarding'our participation with the above mentioned
project, the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTORSIGNA: a}:
RRINT NAhi13�.
C&G 151145$
COUNTY CERMCATION Nf1i4111ER
Stato-of Flortila, Cauaty aC F:[�PXa1Jei
s}
The foregolgg.Gulruountwu"rtgned.hefaro melhls�duyo�
who Is" ersoon =known _or bas produced a .
osidentirication.
Signature oliNolary�11c STAMP
PetnENodtdo[Natdry Pubtl
�e ptills!SIt �d.tYttir.
♦I� C t>.Egln . .
1��' E�NMt�010.
Revised II/IG/2016
J: aJ o N i. •i• �
CM 13.3t 2,40
COUNTYCBRTIVICATION NUMBER
State of Florida, County. of
The forepling tastrumentwos signed before me this day or
W.`- 201COW &A 'Riie'a ie V.
wbo is personally (mown or bas produced a
as ldeadfieadou.
STAMP
f Signature ohl" . ! ^IIllc ♦`[,
PrInt Nante oftVotory Public
Notary Public Stale of Florida
Yesenia Peralts
My Commission GG 251702
pr Expires 00/2212022
(Company
the
For the project located at
a v'5 e'- 11N 1 KAI:"itl)R AGREEMENT
t r(:r c 1f CAXi 1 it , J-1 i(' have agreed to be
Name)
_ Sub -contractor for t { " j t_1_.C.
(Primary Contractor)
(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 Divisir on of St
filing of a Change of Sub -contractor notice.
GGG 151-1 L450
COUNTY CERTIFICATION NUMBER
State ofFiorido, County of $ ri
The foregoing instrument was signed before me this doy of
i
�-116 11,1il I°At-#by -(fit''• "c t
who Is ` rsonap know., _or has produced a
as id/e�,nt ficatlon.
`-. Dt B A • 3 ` J
Signature o Notary Pu ltc STAMP
t
PrtntNnme of Natury Public`
H M W C Dohknd ihir
E EGO0511on Mt102e1010
15112124
Revised I1/16/2016
CC..,(' . /�/VSSt/
COUNTY CERTIFICATION NUMBER
State of Florida, County of t �,4,,�
he f-orregoing Instrument was signed before
rI effore me thisday of
/
f
onoUy known or has produced aadon.STAMP
No ry P lie
Print Namfi of Notary PubUc
ok PGi' CINDY ROSSWURM
4%c�l� Notary Public - State of Florida
poi Commission # GG 937520
oFr� My Comm. Expires Dec 5, 2023
Banded through National Notary Assn.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
` tZAA!6., lA/17., have agreed to be
(Company Name/Individual Name)
the (on S/�L o� G��tLrn..evl Sub -contractor for %N3'H : F'j LLC.
(Type of Trade) (Primary Contractor)
For the project located at Wirl{Cy' fpL(CJQ,r-- {
(Project Street Address or Property Tax
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.
GGG 151-1 L460
COUNTY CERTIFICATION NUMBER
state of Florida, County of, ep�
The foregaing Instrument ens ilgaed before me this N_.. day of
wbo.ls;Ueesa°0 bcnosv° _____or has produced r
as idenNriatlon.
t) STAMP
Signature of Notary Public
1�h1 in
Print Name of Notary Public
(t♦/titfaf iNttls
C DOW
E
t:wj
E Cortrnew44 24 t1gD01Q
Revised H/W2016
�� 41WO
SUB -CO CIFORS! ATUR(E,'(Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
Stele of Florida, County of_
The foredrig tnstrument was
to--,
who Is pe o tly known
as
rubue
before me this ` day of
EDUASDO r! DJ*Fi
Nctary Public - S:xe. n! - ener
� Q Corm„issicn 0 HF! D Dc i;
?anJ' My COn r... EXP:rasA.; 2;, K74
Bceded thregh N30V-a! Npt;rq Is!r,
S
STANIP
PERMIT #
LE�
C-OLl NTT
F ;l :0 IR i •� , A
F)e1C',bcC
the
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
e_ c (c(n -+'rs
(Type ofTrade) C+cr Sub -contractor for
For the project located at
have agreed to be
YVZ-H. C:
(Primary Contractor)
504 Wi otcr 1,301 • L-005- 034(�. �
(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.
GGG'S`745J8
COUNTY CERTR• ICATION NUMBER
State of Florida, County of
The foregoing instrument was sigued before me this :31 !day of
�flv isS�- ,20�by ��At
who Is ersonull lmown_or has produced a
as Identification.
Signature ofNotnrypublic ���`'�`� STAMP
fgfaQ tt)'r rr111k,_%L"1 t in
Pnnt Nsme of Notary Poblid
111001 Public Sam
41,40 jll�
He~ C Dahlin� fribib
IftE CanrNrian HN 02010
Revised i U16n(
SUB -CONTRACTOR SIGNATURE (Qualifier)
Jh cc
PRINT NAME
COUNTY CERTIFICATION NUMBEQR
State of Florida, County of �[ (L rl River
The foregoing instrument was signed before me this A day of
4i C�rrlbey 'ZAby �bnICO i .&It
who is persomaHy Imown Y or has produced a
as 1 B tion.
Si re orNotary Pnh1lc�P
Print Name OrNOtgty Public
tivY ^iy TIFFANY L FELTHOUSEN
Notary hbii¢ •State of
` Commission # HH 035182
My Comm. Expires Aug Florida23, 2024
Bonded through National Notary Assn.
PERMIT # ISSUE DATE
- PLANNING & DEVELOPMENT SERVICES
n Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L1,CG
have agreed to be
the S( fin a j VL� A,{,i Sub -contractor for W,7H ' T'L LL.G
(Type o Trade) 0 (Primary Contractor)
For the project located at 3p9 LQ�C�Wr (—�jrd e,-� 9) tx i 1301. CC)O,; -©34{ j'ODD S
(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.
GGG 1511 L458
COUNTY CERTIFICATION NUMBER
State of Florida, County oflice9c"
The foregoing Instrument was signed before me this 51 sty of aa
who is personally known or has produced a
�as Iddeentitificattiion.
STAMP
Signature of No lary Public
Print Name of Notary PubIff
+��H�irlttw C D=d rwlrs
tefr e>¢•t4+tuno+u
Revised I ills
SUB -CONTRACTOR SIGNATURE (Quatiller)
-Aaron. �uh�
PRINT NAME
COUNTY r_EERTT �CAATION NUMBER
State of 011', ounty of_P)
The roregoing instrument was signed before use thb -.L day or
zo `� by. iti�Utl_
whowho p�own jor has produced a
as Identification.
1 1 ak 1V � STAMP
Signature of otary Public Ll
_LL 6 /Vla7, w -
Print Name of Notary Public r
//
JAN. 9t
206�-i*�
SOti,77C0 V`
11 PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
<3 have agreed to be
� �omptmy Natne/Indy' �'duet Name
the �1!!/d�0�✓S /1J00/LSub-contractor for LLLG
(Type of Trade) (Primary Contractor)
For the project located at ` 3 W Q f' -C tr�kP1- I��ryl,l 1301 - IDD i' '
(Project Street Addressor 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 SIGNA
`� ,
PRINT.-NAbIE
GGG.. 151-2 L4618
COUNTY CERTIFICATION NUMBER
Stnlc of Florldp;:Couniy of
6>
The for�goinp• InitrumenEwal:9lgned ticforc i►itl't41s'� Jny pY:
z13�lig. tyspf,.C���,gti�
who Is pop nolly knownor Gas produced a
. 4"
as Idendrication.
D A i J•� ilk,;. STAMP
Signature orNolory Public,
HE'cat` —er
Print Name of.Natury Publle
PuM_eSt1�.d-RiiiMlr -
C OIiRIt .
HN G10010
Revised I1/16/2016 E
S CONTR/AACTOR SIGNATURE (Quo F 0j4!/ 1b 601-) I�
cNT ME
� 7
?WNTY'CERTIFICATIONWIVIMER
�� �/�
Stale orriorida, County of&Q&
Th forcgolne ins umeatiras si 6etorc me hts d y r
who Is pers ally Imowa or has produced a,
-%OV Notary Pubhc State of Florida
Brittany L Rubino
� My Commission GG 271879
+s��Ro4l' Expires 10/28/2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &. Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
for WO-H , FL L_L-C,
(Primary Contractor)
For the project located at F330---f Wl nil — ('n f cO AKlolr1 130t •
(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.
GGC._151-JL456
COUNTY CERTIFICATION NUMBER
State of Florida. County ofh
The foregoing instrument was slgoed before me this 3!day of
A tcg tA -:0f4by MC=e41 2C )rF_11
who Is rso haawa _or has produced a
as identification.
STAMP
Signature orNotary Public
COUNTY CERTIRCATION NUMBER
State of Florida, County oflJ
a — I 4r
The foregoing Initrument woa aieued hefore me thb day of
6-f0f rlbt✓w]eby lynb VAV&A YlV-e,-
who is personalty boa wo ✓ or has produced a
as tdeattncadon.
AEU r L K STAMP'
Signaturb of Notary Pub11c
APRILM. H::]
My 1SSIOFrlucNnmeofNotaryPubiic'_ Print Nameof Notary PnEXPIRES' M
2ft,
y pwfe Btu of /IMrrBonded Thru Notary
Fi W 4i C D*Jh
w ci rtrnfi�nol WN =M0
� Erpbi0010ti11024
Revised 11/16f1016
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name 4ndividual Name)
the Sub -contractor for•.'�i�{ FL LLC.
(Type of Trade) (Primary Contractor)
For the project located at 3 C)3 WC-D CdCn. PlK j Q 130 l . (cog ` 0*3q@ -cm 's
(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
Ong of a Change of Sub -contractor notice.
GGG 151l4518
COUNTY CERTIFICATION NUMBER
'State of itlorlifw, Cgonly al��Q;�p�
The foreeolWinstrument wu dined before nea ddi; ly of:
who Is timorp _or has produced a..
ns Ilde�ntification.
. ' 1.. , c� STAMP
Siguntum ofNotaryPublic
4-1PG�.`t=t�r' .phi to
Print Name of Notary.Pnblk
?�/ 1101ab►.tawle_SlMadaifrii
s HMtlwC OttliiYt .
E� ttNfW010
a►
Revised I9/Iti201ti
I I I k4x�
S CTO _ SI TUBE (Quatifler)
PRINT NAME
c ec,c5Go 36 0
COUNTY CERTIFICATION NUMBER
State of Florida, County of i0t5k
The foregoing Instrument wis signed before ne this % day of)
who b pmonally4own r has produced a
as Identification.
STAMP
Signaturff
Notary Public
!/ i'!yIr, Zo 1 L4 edK017-7
Print Name of Notary Public
E0 Pryl. Notary Public State of Florida
Merri Lou Shankwitz
c Eon
xpires 021 2l2 23 on GG 283557
qM1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
<62V10ES r 1A) C-
have agreed to be
(Company Namelludividual Name)
the %�wr i T� P96794 vw6Aj i Sub -contractor for 1Aj-F_H ' FL LLG
(Type of Trade) (Primary Contractor)
For the project located at�3 3©q
(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.
G GG I BI -] Liss
COUNTY CERTIFICATION NUMBER
Sutaof karlda. County of s tain"
The foregoingdnsiroroeet was signed before me thtr3—Cd yof
S tc _ zap by tuCW�C,,r .r -,, .
who Is eersonnny known or has produced a.
as Identification.
Signature of Yotacy Pubiie
fq&LLtk' r. Erdi l in
Print Nnmt ofNota'ry Public`
SUB -CONTRA
croR SIGNATURE (Qualifier)
PRI AME
COUNTY CERTIFICATION NUMBER) ��
State of Florida, County of y l Ua ``
The foregoing instrument Wass] before me thb L 11 day of
y �' �
who is p�own ar hu produced a
Notation.
STAMP Ul"AMP
of Notary Pubtl
C o� Eft
Notary Public State of Florida
*11016
lift Conuvossibn HNO2WSO . Brittany L Rubino
Ear Expires 10 28/2 22ommission GG 271879
RevisedIl/1612--- w��—r— .-----
PERMIT #t ISSUE DATE
rI
wNTY
R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
WAN," FL LLC,
(Primary Contractor)
For the project located at 163 ()-4 W 1 f l+Cr ('-,ra(den..pC41 .Q 13o l - (D
,or
It is understood that, if there is any change of status regarding our paiticipatioli 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.
CONTRACrOR'SIGNAT i
PRINT NAME
GGG 1.51-2 458
COUNTY CERTIFICATION NUMBER
State ofFiorfda;,Couatyof cft, ta,
ThdforegolaeinxtenmeatwusdlEnedWore_methis 5_VJ yof
A:.ltest "
who Ie�esonn[I_ y, lm�Qw` or has produced a
as Identification
67
STAMP
Sipmmre orNotary P661[c
RE'C "-ed ' F 1-►t in
Priamorne of Notary Pubes
zWri P0c: Slaw of . ww
YyryaKtn NN tl30Qt0
µaE�Yla:OS1081124
www Maw
Raised 11/16/2016 1
SUB- O (. R SIGNATURE
(Quainter)
PRINT NAME
S�Cs_k2 Usd� a 4 l
COUNTY CERTIFICATIONNU'�M,B,E,Q,Rrt�(��� /,,'�''t/n^,�n n^,/
State of Florida, County of Q k.Q .i: LQ_Q .
The foregoing Instrument was signed before me this _L day or
y��ircxrt k�PCarLo
who Is pereoo}tay (mown _e' or bar produced a
r ; MY COWISWNwt# OO 078640
eo' EXPIRES: May 7. 2vi
Bonded ThN Notary PaM ijn&,, err
- - -- PLANNING & DEVELOPMENT SERVICES
the Z s&
of Trade)
B ilding & Code Compliance Division
BUILDING PERBUT
SUS -CONTRACTOR AGREKMXNT
have agreed to be
Sub -contractor for ► Vr Y H ' J L LL.C.
. (primary Contractor)
For the project located at 53 `30� Le�)r1 i Gar �1 R*s not • tpo& 0341�-3 cco-5
(beet Street Address or Property Tax 1D #)
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 SIGNATU eel CTOR UGNATURE Mcallfleir)
M o CA'r.9 1-0 //r-
PRINT NAME PRNI' NAME
G&G 151- 94518
COUNTY CERTIFICATION NUMBER
State of Florida, County of z�
The foregoiaa instrument was signed before me this day of
199 1161 20 94by thACg=f- ,=—ti�Id_
who Is QersonaDr kn� or hat produced a
as i%dean
�tifiudo
`�-sC__Jtt_D A : l ` STAMP
Sigoatare of NotaryPublic
+>°att)ed- Dah t in
PrfatNaneatNotary Pow
�� =W" C DM
E OfFbom
e.riow111WIo •
Revised 11119/2016
NZ - /SD L//
COUNTY CERTIFICATION Num BER State or Florida, Caaaq or?-g j( 6
The for�eE1�o��q buteomest was afpM Ware = this c� day of
who b puson ft Immm _``mar roes produced s
i
Ap �14 , Notary Public State of Florida
Brittany L Rubino
My Commission GG 271878
acl� Expires 10/28/2022
�=MOSIMMIUMMAPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
GALE INSULATION have agreed to be
(Company Name/Individual Name)
the INSULATION Sub -contractor for WJH FL LLC
(Type of Trade) (Primary Contractor)
For the project located at ()+ff card en ev-(k_v 130 (007t, 0348 - COD • S
(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.
CGG 1511L45$
COUNTY''CERTIFICATION NUMBER
State of Florida, County of �-M21 rd L
The foregoing instrument was signed before me this :51 $+dday of
tin 1J.,51 20:gby M0g'1-4.5!C11d t-f_-
who is personally k _or has produced a
as identification.
ja 7) aSTAMP
Signature of Notary. Public
Print Name of Notary Public
r1oo11 Public Sri of Ilri W
' rCanrrAmm HN 020010
0lAtlrl024
Revised 11/16/2016
COUNTY CERTIFICATION NUMBER
State of Florida., County of (� Z
The foregoing instrument was signed before me this ` day of
September , zo za , by Tba1 W l dSh
who is personally known V arhas produced a
JENNIFER SWEET
• ,
NalaryPublic-State of Honda
-� •
Commission 4 GG 50011
My Comm, Expires Jan, 29, 2021
STAMP
PERMIT # ISSUE DATE
,i PLANNING.& DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Indivi 1 Name)
the Ac raps t= ck:sz:rs Sub -contractor for t{ FL LL.G
kft�ype o de) (Primary Contractor)
For the project located at % —310 9- yy YAe/ (a r�{a� fly—W!A ) 2 Q 1 ' L-00& coo '
(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.
CONTRACTORSIGNATU )
PRiNTNAME
G&G 1511 L458
COUNTY CERTIFICATION NUMBER
StottL of Florida, Cbuntyof srkar"
The tor4goiug-lnriiument ivas stgacil:bcTorame Hik;'3—Ifday of
1!;9Is�i+ ..ZO�fftiY [M0CC,4 Q,t )eiLE-6�
wbo'IspersonaNkoowo _or has produced a
as Identification.—_
STAMP
Signature ofNl taryP.ublie.
"eclth,5_ � in
PrintName of Notary Public
"a" plllb SYot +"loft
iiiewww C Down
Revised 11/16/2016
SUB -CONTRACTOR SIGNATCRE (Qualifier)
PRINT NAME
2) 1
COUNTY CERTIFICATION NUMBER
state of Florida, County of
The foregoing instrument was signed before me this day of
t� ttl)Qby :
who is personally known sf or has produced a
askden"ficadon.
STAMP'
Signature of Notary Public
Print Name of Notary Pubilly
e�rnv rue��n TIFFANY METZGER
Commission ii GG 356168
Expires April 26. 2022
�rfOFF�oP�� swdedThruBudget NolarYiWcas