HomeMy WebLinkAboutSub-Contractor Agreement1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
. { Building & Code Compliance Division 006 a�a
XJ
0,6
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT Z�lf
O
L&Oef.-lo )Pdo /S
have agreed to be
(C m ny Name/Individual Name)
the Sub -contractor for
(Type of Trade) / (Primary Contractor)
For the project located at 1Q�30�d
(Project 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.
"z4o'-Z
FO-NTRACtOR SItNATURE (Qualifier)
116A &,2-7- . f A
PRINT NAME
COUNTY CERTIFICATION NU'
State of Florida, County of 14
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATIONq:'
State of Florida, County
The foregoing instrument w signed for me thi y of
orcgoing instrume-ntt'w s aign before me this day of
_,24 0by >�f^-�
, 2u y r
_De
who is personally known or has produced a
who is personally known I/or has produced a
idenh ation.
STAMP
` STAMP
Sig lure of Notary
a of Notary is
Print Name of Notary Public
Print Name of Notary Public
PUg��c SHERRI FEMMAN
o�pgY
Commission # GG 187160
SHERRI FEHLIWAN
Expires h4arch % 2022
�� �9TFOFF>�QQ�
Commission # GG 187160
@on4cdTMB64PINdI9ry9Am0e8
9r \oEXPIres P„arch 14, 2022
FGp
Revised 11/16/2016
f4oP aood0d TI ni aLgot Notary scrvioas
0512412018 08.23 MW
M�f fi �yv wr—�• • --
t E
RMIT O ISSUZ DATE
]PLANNING & ])EVELOPMENT SI&XV.ICES I RECEIVED
Building & Code Compliance Division
MENEM DEC 31 1010
SUILD ING PERMIT
SU&CONTRACTOR AGREEMRNT permitting Department
St, Lucie County
r,
P14-lak G-.'� �,�—/ G. have agreed io be
(Co NMnd1ndiVJdua1 Nam) ��u 6
the /� r� ,� Sub -contractor For
ITvna of Trade) (Friimary Contractor) I 1
For the project located at
It is understood that, if there is my change of statue i5egarding our participation with the above rawtioned
project, the Building and Code Regulation Division of St. Lucie County will be advised purzuant to the
filing of a Change of Sub -co ntx r notice.
CONTRACIOR SIGNATURE (Qu111110r)
P NAMR
COUNTY C@RTliri� NUMHER
State Of Florlda, County �►t.C�
The foregoing br numCA was 315seror me tbir ly of
6T
Print rquae of Notavy PubI
°S�.YpGe�in
SHERRI FEHLMAN
Commission
N
# GG 187160
Expires
9fF�F
March 14,2022
FL�+'\OR
Revited 1111WO16
SQ 0' Thru Bcdg Na rys
�9.. e?
COUNTY CE64-IFICATION 9
Stoic er'Florldo. coup=e-C,
The forasolag lattrumont W41 a .Fore Mt tb1fiZI a/
..ter
lee— 20,&by
STAMP
°tom V
i
SHERRd'FEHLNIAN
Commission
7
N9l�eF
# GG 187160
Expires March 14, 2022
r��
001WW Am awii4n Nbory Services