HomeMy WebLinkAboutSub-Contractor Agreementr
1-2
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
2
(Corn an Name/Individual Name)
the t Je C 4,f i C
(Type of Trade)
For the project located at fe
(Project Street
Sub -contractor for
(Primary
or Property TA ID #)
have agreed to be
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
I
filing of a Change of Sub- ntractor notice.
(Qualifier)
NAME
COUNTy CERTIFICATION NUMBER
State of Florida, County ofl�� 4� `
The foregoing instrument was signed before me thisz day of
L 20 by 1 )ja
1/ e
who is personally known _or has producel
as identification. I
• STAMP
Signature of Notary P lie
Print Name of Nota Public
AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
..; : EXPIRES: March 6, 2023
Revised l 1/16/2016 -.; Q' [Bonded Thru Notary Public Undenvriters
;:m+iA:r:e,::;..n: .::,� �,�.�•�s=ate.
SIGNATURE (Qualifier)
State of Florida, County '�•
The foregoing instrumen a sr ned before me th day of
201Q9 by
who is personally known or has produced a
as identification.
01J, STAMP
Signs re of Notary P lic U
Print Name off Notary blic
.o<°P4a�. AUDREY B. HUMPHREY
=* ' #. MY COMMISSION # GG 300817 '
"' �= EXPIRES: March 6, 2023
FP,F P4° Bonded Thru Notary Public Undenvriters �z,
ISSUE DATE
PERMIT #' -
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
(Company Name/Individual Name) /
'P ) Lk- I,V7 1D n 5 Sub -contractor for
(Type of Trade)
(Primary
For the project located at��
(Project Street Address or Property JA 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- gntractor notice.
(Qualifier)
Nj-�—
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this.23day of C
t 20�Lp by ) ) �� V lv J
who is personally known _or has produced a , r
as identification.
STAMP
Signature of Notary Pu He
%,
Print Name of Nota Public
AUDREY B. HUMPHREY
E MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
Revised l 1/16/2016 ':j Bonded Thru Notary Public Underwriters
COUNTly CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this , day of
2QQ by n ��
who is personally known or has produced a
as identification.
7.140 TA,
Signature of NotaryP Gc
'con
Print Print Name of Notary C/ blic
o<�'!?9a�• AUDREY B. HUMPHREY
I
MY COMMISSION # GG 300817 i
a"rho EXPIRES: March 6, 2023
•}�OF F ;,.;' Bonded Thru Notary Public Underwriters j
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
(Company Name/Individual Name) /
M (.G ), I L lrA.,L Sub -contractor for
(Type of Trade) "I .
(Primary
For the project located at � Z�--4 /
(Project Street Address or Property 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.
(Qualifier)
COUNTY CERTIFICATION NUMBER
\ p
State of Florida, County of Z. `) �,` L l '
The foregoing instrument was signed before me this23day of
L , 2010 by tl lEl
^� 1
who is personally known —or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notai Public
AUDREY B. HUNIPHREY
MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
Revised I t/16/2016 •. Q' Bonded Thru Notary Public Underwriters
�:� uY �.......•+...:1%Y'tS:3'C'atL'ffiR :s.+��a�— �--
i
i
SUB-CONTRACTp SIGNATURE (Qualifier)
PRINT NANIE
'NJ 0
COUNT CERTIFICATION NUMBER
State of Florida, County off
The foregoing instrument was signed before me thi; , day of
2tj by s--L^ tJ�
who is personally known or has produced a ti 1 I
as identification.
STAMP
Signa re of Notary P { lic
Print Name of Notary ",Pb �J
l�1!eya AUDREY B. HUMPHREY
c*_ MY COMMISSION # GG 300817 1=
y ` Q� •' EXPIRES: March 6, 2023
Bonded Thru Notary Public Underwriters
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
(Company Name/Individual Name). /
9 6" , Sub -contractor for
(Type of Trade) V '117 .
(Primary
For the project located at�% T�
(Project'Street Address or Property SA 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 Subic.ntractor notice.
(Qualifier)
PRINT
N I'--
COUN Y CERTIFICATION NUMER
\�
State of Florida, County. of
The foregoing instrument was signed before me this, —day of
l • , 20)_V by i
who is personally known _or has produced a
i�
as identification.
- .. STAiVT
Signature of Notary Pu ue
Print Name of NotaryPublic
AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
EXPIRES: March 6, 2023 ,
Revised U/16/2016 j Q' Bonded Thru Notary Public Undenvriter�
•N 1 0
COUNT,y CERTIFICATION NUMBER
1
State of Florida, County of —4
The foregoing instrument was signed before me th1'54,, day of
20Q9 by Q
who is personally known _or has produced a \
as identification.
�)_JJAAJ'L' Q5
C- i ZLb , STA��
Signitfire of Notary P He
Print Name of Notary L", blic
FF..'
s'%?ys`. AUDREY B. HUMPHREY F
c*: MY COMMISSION # GG 300817
�y�_ 4�•' EXPIRES: March 6, 2023
•;,oF F Bonded Thru Notary Public Underw iters jjj