HomeMy WebLinkAboutSubcontractor Agreement PERMIT# 1 7 04 — 6 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building& Code Compliance Division R-E C E r 2 D,
* ` BUILDING PERMIT 1
SUB-CONTRACTOR AGREEMENT AP ���
PEREAVFrING
St. Lucie County, FL
IM A T V L k 6 LEe-Trz i C— C 0*16C i 3 00/ &'/3 have agreed to be
(Company Name/Individual Name)
the E.L6Mi C Al Sub-contractor for FRANC '(r�J,�NG�161, ��0_W N612-)
(Type of Trade) (Primary Contractor)
For the project located at V-110 1+A%Q QU?, COVE D114- ?-A 'FL- .6MLIJ
(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.
CO RACTOR SIGN (Q r) SUB- RACTO SI NAT (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER -
State of Florida,County off State of Florida,County of cc� ,q_
The foregoing instrument was signed before me this I I day of The foregoing instrument was sig ed before me this J day of;
fl-l 20l?by P ak1� _-ft 1 Cj4 1\4 200 by
who is personally known ✓by or has produced a who is personally known•zor has produced a
as identification. as identification.
STAMP Z STAMP
Sign t re of Notary Public Tg.k'tU"e0qfotary Pn Ilc
Javia— Iq.(?Ckff)0_V' amkl_
Print Name of Notary Public Print Name of Notary Pu lic
•;�:;;
;p..# JANICE M.COtEMAN
W MAR
f MY COMMISSION tt FF230753 Mt`
NMary,
EXPIRES May 14.2019 = RuOgC-lSbti o1 F1ortAa
Colnmla{loo#fF 231685
���,t:t'D.'r0::,a FAiwr�otar Swrrce.u+n '� .My Comm.EaAhn May 31,2019
Revised 11/16/2016 �!'f OF fl�.`',
. ,.
Bonded through H&W tb"Assn.
PERMIT# 170� — DI -7 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES R F,,:: -77
H", Vr
Building & Code Compliance Division
BUILDING PERMIT APIR 201?
SUB-CONTRACTOR AGREEMENT-
CIZS Pi�UVL413111VcJ 5-3 have agreed to be
(Company Name/Individual Name)
the 'PtSM 131 No S ub-contractor for K PAN V— 7_fZAtv61+JUA— Cowwa;<)
(Type of Trade) (Primary Contractor)
For the project located at SLI20 J+AdZWL)4 Coy� F+- pusace 'FL— SLI 41
(Project Street Address or Property Tax ID-4)
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.
?COZRACTOR"SMA:tURL(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PAN K-- -JyJkN 6 1h(,LA-
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S:[. QLICIL-5 State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
A IL ,20jL by 20_17,by-
who is personally known"or has produced a who is personally known 04- or has produced a
as identification. as ldpfi tlon.
of Notary Public .......... EDW)MUD JENDON
Sighature of No ry Public
E WARD D JEUW MY COMMISSION#FF124587
MY COMMISSION#FF12r
. .........
EXPIRES May 19:2018
.
EXPIRES May 19, L( FlaridallotaryService.com
Print Name of Notary Public Fruit a ate of Notary Public 4071296.01 s3
(407)398.0153 FloddallotaryServicexcm
Revised 1111612016