HomeMy WebLinkAboutSUBSPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Na e/Individual Nalt�e) have agreed to be
the A21Uvy,'t tt
Sub -contractor for 'P o S 6
(Type of Trade)lr
(Primary Contra tor)
For the project located at N UD ` ww'f(k (Project Street Address or Property Tax ID #) v�l�pl
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 SIG ualirier
PRIN(;T NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�` o—
The foregoing instrument was signed before me this
5—day of
20 5� by
who is personally known "r has prod ed a
as identi cati
rture of Notary Public
V t lid V fJ� rx,
Print Name of Notary PublicRevised 11/16/2016
SUB -CONTRACTOR �TUREQualif. )
izr
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of t' L_ i C,
The foregoing instrument was signnee(dj before me `thiis\ day of
R20a� by 1 U 1 i Vy
who is personally known or has proVuceda,
as en t)ation.
ignature ofNotary Public $�
m z
Print Name of Notary Public
Ax�p�
Q ? i
�QYI
8
Pa
the
PERMIT #
cc
(Company N
C'zleo'
(Type of Trw
For the project lot
It is understood th
project, the Buildi
filing of a Change
(er�-'Y �J
C21� -2,7
State of Florida, County o
TILe foregoing instrument
20-2
who is personally known _
as identification.
Signature of Notary
Print Name of Notary
Revised 11/16/2016
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e 7g- )C1d6oLerfi iloa yu
e/Individual Name)'
t o_ ,4
d at�
have agreed to be
Sub -contractor for /Dod l _Q (j � e e Cr
(Primary Con actor)
(Project Street Address or Property Tax
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
NUMBER
as signedbeforemei th's' day of
byi�
!!,or has produced a
ZI
___:1.
STAMP
.ey 00, Notary Public State of Florida
A Thomasina Bowins
c My Commission GG 201733
Expires 03/29/2022
SUB-C SI ATURE
jj p (Qualifier)
OKb err E 4 y k
PRINT NAME i
_ / 98 yq
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 LU ' e L�
The foregoing instrument was signed before me this �[J day of
, 20_T, by
who is personally known _Ylor has produced a _
as identification.
Signature of Notary Public STAMP
P nt ame of Notary Public
.m .
Notary Public State of Florida
p, Th 3Masina Bowins
10
My Commission GG 201733
o* zs Expires 03129/2022
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