HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT Nov 1 8..2020
SUB -CONTRACTOR AGREEMENT
Permitting Department
St. Lucie County.
Cae2ln 54� c1i�i� have agreed to be
(Company Aame/Individual Name)
a
the _ ,�. G -:2-s �c.� .�'� .Y Sub -contractor for
(Type of Trade) (Prim Contractor)
For the project located at ✓ 700 3, 7 7 -,e , 3
(Project Street Address or Property Tax ID #) T
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.
oNTRA G (Qualifier)
i21\IL=
%_ f/ 1 // 7 j / 3
C013M CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before we thbs day of
. 20_, by
who Is personally known or has produced a
SUB -CONTRACTOR SIGNATURE (Qualifier) CL` 1 A1)
i
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before we this _ day of
. 20___, by
who is personally known or has produced a
' �)To I
„• —
ARErCARpwEaO ZELAU N' ✓— \ t-- � .Is
oat is - ka!e or Florida BRESDA 10* 0 ZELAYA
Print Name of Notary Public Cc� mion : GG loon I Print Name of Notary Public 'f ae ay °-e'+� • : ale or.Flonq
a . My Coy--. Expire! Apr 18. 2022 Co^mission; GG 206712
BOndld:hro� hicrIMo an,. ' ryC0--.E,C+-�Apr 18.2022
S' a i taryAun. broc .^:.-T41Mat*rj1kotiryAssn.
Revised 11/16r2016
I IN
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
"I
Permitting Department
St. Lucie County
have agreed to be
(Company N ' e/lndividual Name) I
the Sub -contractor for S
(Type of Trade) (Prima ontractor)
For the project locatedat w /
(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.
PPXVr NAM
Y/
COUNTY CERTIFICATION MAMER
State of Florida, County o
The foregoing instrument was signed before me this y day of
Y V • . 20 1? by —Re e+v
who is personally known _or has produced a Wa L �1, Or
as identification. S � v (J
STAMP
Signature of Notary Pubw L V —1
V& Q)4�L1
Print Name of Notary blic
� uU. RAY
MY CohjMISSIoN it GG2 08V
EXPIRES: March 6,
23
Bonded Thfu Notary Public` W1t
Revised I
SUB OR SIGNATURE (Qualifier)
7
RINT NAME
ezf-
COUNTY CERTIFICATION
State of Florida, County off �7a-, .�
The loing
ent was signed bebmeday of
� by
who is
as
produced a
Public
JOUBERTPIERRE
MY COMMISSION # HH 026631
'K EXPIRES: August2,2024
�a,+,coctQpBonded ThruNotayPdWleUndowiters
STAMP
PERMIT # ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
J ,=I a, LN-16M Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(C. pany Name/Individual
the LC��
(Type of Trade)
For the project Iocated at
RECEIVED
NOY 18 2020
Permitting Department
St. Lucie County
have agreed to be
Sub -contractor forte-`y�'f;>I--
(Primary C ntractor)
(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.
CON rRA C
ATU (Qualifier)
_2
/Z
—
PRINT NAME
COUNT]' CERTIFICATION NUMBER
e State of Florida, County o a 1u c' e
The foregoing instrument was signed before me this ij day of
Grv� 2L; byf`-,o!fle— �G�uu
«ho is personally known _or has produced a SG i_ 4<
as identification. / d
j �—.- .. �,r STAMP
S nature of Notan Public
Rosa Baraia ,
Notary Public
Print Name of Notary Public
.A our• ROSA 3ARAJAS
i •' Notary Pudic - State of Florida
Commtssior - GG 3d1985
or My Comm. Expires Aug 17, 2023
Revised I
1/16201> jncec through National Notary Assn.
SUB-00',TRAC G/ URE (Qualifier)
RINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County olf�t . A C i e
The foregoing instrument was signed before me this day of
J �l i'7 20 �t36y
who is personally known _or has produced a `
G 7c cA,
as-Tentification.
STAMP
Signature of Notary Public
Rosa B�,rajas,
Notary Public
Print Name of Notary Public
,�.�• a� ROSA 3ARAJAS
r'•^1�' Notary Pu:).1c - State of Flonda
Commissior - GG 341985
yor r+°: My Comm. Ex-.;res A:.g 17. 2023
3orded through Nahora. %otary Assn.