HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' a ' Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
10 O)S b �fz P -�/U�: 17"c 1 1 x have agreed to be
(Company ame/Indivi al Name)' /�
the 1F I U n.b 1/y 4 Sub-contractor for PO 0 �S b t/ Ink 2 it , Z&OL
(Type of Trade) (Primary Contra tor)
For the project located at o2 0 O o Fr SlG cj k e y'N S T 2 D2 , T �/e rC�2 �y'y�
(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.
CONTRACTOR SIGN ( ualifie SUB-CONTRACTO ATURE(Qualifier)
/,ZRRt1 W t X / 6le e!/ I/U I
PRINT NAME PRINT NAM
QF3 -71 aa-3 � >
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing
�instrument was signed before me this day of The foregoing instrument was signed b fore me this L day of
6��(/f i,20L,by � ut— ,20/4 by f,V
who is personally known!!or has produced a who is personally known_or has produced a
as iMrVq_,_
astzm
STAMP
STAMP
S146na&lre of o ary Public Si na ure of tary Public
J&VW, _rave AN rr\p-- CAr\avcrL
Print Name o Notary Public Print Name of Notary Public
• 1
JAYME CHAVEZ
*: MY COMMISSION#FF991925
EXPIRES May 12,2020 � °"Bit; JAYME CHAVEZ
,�iFoctid``` ;,�•'
(407 398-0153 Florldallolaryservice.com MY COMMISSION#FF991925
Revised l EXPIRES May 12,2020
(407)6"153 FloridallotaryService.com
1
PERMIT# ISSUE DATE
-- PLANNING & DEVELOPMENT SERVICES
v W, ""�� �� Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
V Q y4, �'L g e T21c/e0 b2 r a k have agreed to be
(Company Name/Individual Name)
the C'l E C %2 t C A L- Sub-contractor for �od 1 d y 2 e g ,T/U e.
(Type of Trade) (Primary Con actor)
For the project located at oR C)00 So r,fA e �L; ST r
(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.
CONTRACTOR SI E(Qualifier) SUB-C r O GNATURE'("Qualifier)
T�2fPy kV I� RoLgr� �ayt-L K
PRINT NA PRINT NAME
a �- 3 -?l / 9(?yz
COUNTY CERTIFICATION COUNTY CERTIFICATION NUMBER
State of Florida,County of CA b A State of Florida,County ofStj_Du e)
The foregoing instrument was signer Qe�foorerm�a t�h,(is) I day of The foregoing instrument was signed before me this�day of
20-H by �I CJF �"Y V v�� MCAM2011',y/ W d
who is personally known or has produced a who is personally known or has produced a
as i ntification. as id yz. qz
STAMPSTAMP
Si a ure otary Public Sig t re of Otiry Public
Ohm
Print Name of rkotary Public Print Name IF Notary Public
,1AYME CHAVEZ
+� •" MY COMMISSION#FF991925
., EXPIRES May 12,2020 �� <, .lAYI1r1E CHA
8 FlorldallotaryService.com *" VEZ
MY COMMISSION;e FF991925
Revised 11/1
1 ae-o153 EXPIRES May
Y 12,2020
Florid-t%WIYServlc¢cam