HomeMy WebLinkAboutSub-Contractor AgreementL
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
of Trade)
have agreed to be
WY-6 n4
For the project located at I '�1/ - l / J `1 7 r5
(Project Street Address or Property fax 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.
CONT I T E ali er)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5S • LvU;G
The foregoing instrument was signed before me this Z& day of
, 20Z0, by A11//r4w )elCp
who is personally known _or has produced a rG Zk-,e—
as
x.
Print NamW of Notary 1
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20_, by
who is personally known _or has produced a
as identification.
EDGAR A.JNAQ,
tpry Public - Signature of Notary Public
Commission: GG 120e47
My Comm. Expires Jul 4. 2021
Print Name of Notary Public
STAMP
For the project located at 12, 7 fvr, vSj 1
(Project Street Address or Property Tax ID #)
PERMIT # � � ` � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(�thave agreed to be
Company Name/Individual Name)
the Sub -contractor forI aA MC
(Type of Trade) rimary Contractor)
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
COUNTY CERTIFICATION NUMBER
State of Florida, County of. 54• L.,;`
The foregoing instrument was signed� before me this 4day of
nitrrr/S.I , 20 d
@E, by ��i—Le- lceco
who is personally known _or has produced a Ft
as identifica
;•�;PaY'P�ei EDGARA.ESPINOSA
_• ° NotaryPublic -�S1a MPOrida
Signatur nbGc ; Commission � GG 120847
'rs�oFFeF�' My Comm. Expires Jul4,2021
Print Naine of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
FYI — IF
the
PERMIT # � �- "Q�0 y ISSUE DATE -�
e of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sj &J J have agreed to be
Sub -contractor for o f (Wt A- QFC(6 Cowl)
(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 Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
State of Florida, County of 6f
The foregoing instrument was signed before me this 4 day of
yIeOKL,laff , 20 2U, by MI -v-e— 12¢ cr c
who is personally known or has produced a F�t— Dr' u 1-1ac"06-
as identificatio
EDGAR A. ESPINOSA
r,._. "`• taryPublic S�talsW�loridd
Signature of Notaryblic = • • commission; GG 120847
MyComm. Expires 1u14,2021
Print Naide of Notary P blic
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP