HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
v t ° -71 (= J - � d �' have agreed to be
(Company Na e/Individual NN �,)
the L) VYAO Sub -contractor for
(Type of Trade) (Primary Contra tor)
For the project located at
(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.
C r
CONTRACTOR SIGN E (Qualifier)
T�ff'�.j
PRIIN(T� NAM
a
COUNTY CERTIFICATION NUMBER
State of Florida, County of �a�i c
The foregoing instrument was signed before me this day of
20?A,by 1
who is personally known �or has produc d a
as ident' of
STAMP
Sig re of Notary Public
Print Name of Notary Public
L4P
Notary Public State of Florida
Christine A. MarshMy CO-M133lon HH 026766
Explres08/02/2o24
Revised 11/16/201
SUB -CONTRACTOR StGNA,4 (Qualifier)
1,
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed Qbefore me this � day of
--t-�� 20 , by— V'['I ��x lo1\/-
who is personally known —�4or has produced a
as iden ' ation.
STAMP
Si ure o Notary Public
Print Name of Notary Public
aQ�►s* �Le Notary Public State of Florida
Christine A. Marsh
• My Commission HH 026766
ora Expires 08/02/2024
W
PERMIT #
"u V 4 � CC�e
(Company N me/Individi
the �''lE�% tQ.4L
(Type of Tra
For the project loc4ted at
It is understood th
project, the Buildi
filing of a Change
C2�-3 -)/
COUNTY CERTIFICAT
State of Florida, County c
The foregoing instrument
20_a
who is personally known -
as identification.
Signature of Notary Publi
Print Name of Notary Pu
Revised 1111612016
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code COmgliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�oberl- 104
Name)
25
have agreed to be
Sub -contractor for /00dl ? 6 2
(Primary Con actor)
(Project Street Address or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
as signed
before me this
�'� day of
by�raiN\_�, [or has produced a
SUB COjjN R (.NATURE (Qual
b ifier)
O err
PRINT NAME
l 9 8 Y�'
COUNTY CERT ICATION NUMBER
State of Florida, County of :� fi � t
The foregoing instrument was signed before me this "i
day of
2021, by
who is personally known has produced a
as identification.
STAMP 1
i STAMP
Signature of Notary Pubuc .
rint N me o Notary Public
b5)0 °s�$ Notary Public State of Florida
1-0 A Thomasina BOwins
:0 e. My Commission GG 201733
Expires 0312912022
Notary Public State of Florida
.A Thomasina BOwins
My Commission GG 201733
ax`a
Expires 03/29/2022
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