HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANMNG &r:DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
(� J �CiT► 1 C � have agreed to be
the �Comp y Napie/In ividual Name) ,
Q C I C a.e J Sub-contractor for A
(Type of Trade) nn /1 I (Primary Contractor)
,For the project located at vl lr( l 01
(Project Street Address or Property Tax ID#)
kis 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 G TURE(Qualifier) SUB-C NTRACTOR SIGNAT ualifier)
PRINT NA IE PRINT NAME
COUNTY CERTIFICATIO COUNTY CERTIFICATION ER.
State of Florida,County of � State ofI7orids,County of
i
The foregoing instramentwas s' ed before me this day of The foregoing instrument was signed before me this ��day of
201 by l• 20 ,b/y� (JW`ll �J.(�A-'L�
I is rsooally known or has produced a who is rsonally known Y or has produced ka
as i enti icafio as i en•►catio
r STAMP STAMP
ignature ofNotaryPublic nature of Notary Public
o• "°a�-: FARA D HERNANDa ::; ��, FARA D HER NDE
:?
MY COMMISSION :r
EXPIRES October 28,2018 MY COMMISSION#FF17 9
"••.'`for-y�;'°�'` � Z.�.�,`o,
FloridallotaryService.com '!FOFrvoo:° EXPIRES October 28,2018
(407)398-0153 (407)398-0153 FloridahlotaryService.com
i
I
I
PERMIT# ISSUE DATE
_ -- - -� PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
0
q D --
- —- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
&tL Jf_�00! have agreed to be
(Company Name/Individual Name)
the pL'UMEiINr' Sub-contractor for A & G CONCRETE POOLS
(Type of Trade) (Primary Contractor)
For the project located at gD50 C I .
(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.
CONT SIGNATURE(QualiSe �-CONNAT (Qualifier)
JAMES T. LEONAR __-----' JAMES T. LEONARD
PRINT NAME PRINT NAME
25959 25959
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S T. LUC I E State of Florida,County of S T. LUC I E
The foregoing instrument was signed before me this 22—day of The foregoing instrument was signed before me this day of
,2017,by JAMES T_ LEONARD 2011,by JAMES T. LEONARD
who is personally known for has produced a who is personally known X or has produced a
as i en ficatio . as i en'ficatio
'gu_alA STAMP STAMP
ignature of Notary ublic ignature of Notary Pub is
I
FARA D. HERNANDEZ FARA D. HERNANDEZ
Print Name of Notary Public Print Name of Notary Public
a�4'PRY PCB..
FARA D HERNA
,:o:'- a�: FARA D HERNAN
'_ `` = MY COMMISSION#FF172419
+ MY COMMISSION#FF172419
C 2018 i�' °
+"� P°' EXPIRES October 28. '.+td�.Pj EXPIRES October 28,2018
Of f�•,,.
O•`•`��r (407)398-0153 FloridallotaryService.com
icqi 98-0t53 FloridallotaryService.com
Revis
i