HomeMy WebLinkAboutSub-contactors PERMIT:# 1SSO DATE-
1
PLANNING & DEVELOPMENT SERVICES:
i Building & Code Compliance Division
•
BUILDING PERMIT
- 8UB-00NTRACT61t AGREEMENT
--DIZ V -. . C?GJS --- havea_greed:to_be`
(Company Name/IndtviduWN9fie)
the fj t4!}L_ Sub=contractor for cc*l5
T e of Trade
yP ). _. , , '(:ritnary Contractor)'.. :::: .
For•the.prof ecf,located.at Z3
(Project Street Addressor Property.Tax ID`#)
It,s understood;that,ifther.eis-Any-change of status regarding our-p rtic pat on with the"above mentioned'
project,fhe Building and Co"de Regulatton Division of St Lucie 'onty wall be advised purl ntto;the:
fiing,of a:Change o _b contractor notice.,
coN[ SUB CO i ORIGNATURE(Qualifier)
,PRINTNAME - . 'PRINTNA
COUNTY.CERTIFICATION:NI]MBER"` COUNTY CERTIFICATION NUMBER
$fate gf Florida,CountyofZC?1t��4 t2 State of Fi lkid a,Couaty:of - --
The foregoing instrument was Agned before me this 5 day of The foregoiug,instrume-twas signed before ine this day,of
211� ..Uy
who Is peisggn -knoww o-r-"has produced a _ who,is pens nail know a§nrodmed a _
as 14ptifient` E O CARDONA asidendwl�on LB RTO`.CARDQNA.
i
• . S•- MY C ION at>:F9401A4
•. '' MY MMt$SION fi FF9401 i4
`RES December 21 2019 .
M Decemb0rZ 2039 ; -. � '.,lr. •` MP
_ SrAMP
'Sigiiatueof IFbrd.tla�f rvla.00m''.. ; Signaturco Noti
Print Name of Notary,Public `"" Piihi Nam of Notary Public',
'Revised /16T2t1i6 I.
RECEIVED MAY 2 5 2017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
co lklzl have a ree to e
( any Name/Individual Name)
the Sub-contractor for
(Type of Trade) (Pri ontra��ctlIor) 1
For the project located at z 3� 5• G'b1�(( � !J o K vJ I- aC1 E
(Project Street Address or Property Tax I #)
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 S contractor notice.
CONTRACTO GNATURE ualifier SUB-CONTRACTOR SIGNATURE(Qualifier)
��jff A&E? lo tw
NT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER p —"—` COUNTY—CERTIFICATION NUMBER /�/ /�
State of Florida,County of ��h 1 State of Florida,County of�rfl p
The foregoing instrument was signed before me this Z-7—day of The foregoing instrument was sign d before me this ZZdday of
20 by DW[� 4Z ,20�bbyy av-Ad('l K.
who is who is personally known'V or has produced a
TO CARDONA
as iden a :ma's y 0 �� FF9401I4 as identification.
P S ber 21.2019
i+Or�300-0' F SMwa.00m STAMP STAMP
Signature of Nota u lic Signature f Notary Public a°s.•••,e�% ALISSA LANTIGUA
�i * MY COMMISSION I FF106912
P EXPIRES:November 3,2017
Print Name of Notary Public Print Name of Notary Public
F FLU' Bonded Thru Budget Notary Services
Revised 11/16/2016
Ik�JPVLED MAY 2 5 2017 •
PERMIT# t y—� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
r
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
mvPZ CG7 /,ua,--� 1 0y4g,�O//�have reed to be
(Company Name/Individual Name)
the - aA R Sub-contractor for
(Type of Trade) 1J (Prima ontrac
For the project located at D30 5, E cdw �
(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 Chan e of Sub-cont actor otice.
C T uafifier SUB-CONTRAC R SIGNATIt ( alifier)
PRINT NAME PRINT NAME
CFC /'V-2 x60.�?-
COUNTY CERTIFICATION NUMBER ��f COUNTY CERTIFICATION NUMBER
State of Florida,County of �fJ/j/cam— State of Florida,County of A
The foregoiin�g instr ment was signed before me this day of The foregoing
instrument was signed before me this 19
day of
1-)'AL/ ,20/,by ziwzez .PK zzy �� ,247,by ,Q W 147 P/A V
who is person y know r has produced a who is pers ally known_or has produced a
as identification. as identification.
A R O RDONA
CARDONA Al. CA
STAMP STAMP
Signatu a �P Signature _ 1 FF940144
RES December 21,2019 EX ES December 21,2019
�440;)39M!53
,r.,,..
F ryService,com Fb�1EeMota
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016