HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
•
- --- -- - — BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AL v ii le-Cil't t have agreed to be
((gompany NameAndividual Name)
the , !C �d � � Sub-contractor for r .
(Type of Trade) (Primary Contractor)
For the project located at �a h �/� t �i l a/T � C'!
(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.
AA
CO OR SIGNATURE(Qualifier) SU OR SIGNATURE(Qualifier)
_f1 r`v�n cJ�'�.l✓ �� 7 t� A-
PRINT NAME PKINTNAME
zS 5 EC1, toy17,75
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of i C�� State of Florida,County of
The foregoing instrument was signed b re me this day of The foregoing instrument was signed before me this day of
I ! rn PJ r 4— P
who is personally know _< raas produced a _ who is personally own or has produced a
dentitication. (((( 'dentitication.
STAMP STAMP
Si ature of Notary;Pub
rgnatore of Notary PueN 1oNotr c Print Name of Notary P blic
Y. NotarY Public State of Florida
�Q � Danyel Jones 00� Notary Public State of Florida
My Commission GG 352016 ,Q Danyel Jones
��41z dP Expires 0710412023 My Commission GG 352016
Jn Expires07104/2023.
Revised 1 / 6/2016
PERMIT# ISSUE DATE
r P: ' PLANNING & DEVELOPMENT SERVICES
,��
COUNTY
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
a �
a JC have agreed to be
(Company Name/Individual Name)
the FC Sub-contractor for a �'�& C_
(Type o rade) (Primary Con cior)
For the project located at Ol �b Cti✓1 tar` Ova—
(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 hange of Sub-contractor notice.
TRACTOR SIGNATURE,(Qualifier) SUB-CO C7�D IGNAT (Qualifier)
k'; M_ Pr �<
P NAME _ PRINT NAME
4 M ,5 ` -J
,5 5
COUNTYCER COUNTYON NUMER CERTIFICATION
State of Florida,County of z .� State of Florida,County
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
._ .A s.0120 t by 20Xby .�\ Ir
who is personally knownldurhas produced a who is personal) or has produced a
as identificatio as identification.
CSTAMP S_TAMP
Signa of Notary Pu is Si ature of Notary Publi
Print Name Prin me o ota Public
�.�Y Pp? Notary Public State of Florida
`� Danyel.Jones
a• o` My Commission GG 352016 �.1 '�i Notary Public State of Florida
'4 Expires 0710412023 `f Danyel Jones
;� A< My Commission GG.352016
u � Expires 07/0412023
Revised 11/16/2016