HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 12— vo- / 0-2,5 ISSUE DATEJ -11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
(C tn ny Name/Individual Name)
the /�M /AJ t
(Type of Trade)
For the project located at 242,6
It is understood that, if there is any
project, the Building and Code
filing of a Change of S
.TURE (Qualifier)
have agreed to be
Sub -contractor for Z
(PrimaryContractor)
;07 Ae'e_ _P
Street Address or Property Tax ID #)
of status regarding our participation with the above mentioned
Division of St. Lucie County will be advised pursuant to the
notice.
/__� tiA_J
PRINT NAME
e92
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signe efore me this Ak day of
I
29V by
I
who is personally kV6,n r has produ"
of Notary
°tpFYPpBI/ SHERRI FE
WO* Commission # c
�T Cxpires March
F�F F10'R� Bonded Ttn Budget �
Revised 11/16/2016
STAMP
SUB -CONTRACTOR SSll� _ ATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NU
State of Florida, County of MBE ee_�
The foregoing instrument w'as signe afore me this da • of
who iS�pefsonally kn�`vas duced a _
of Notary Public
Print Name of Notary Public
�
SHERRI FEHLMAN
1187
187160
9r
Commission # G G 187160
Ex
2022
�o�
FOF Fi oP
ices March 14, 2022
y Services
Bonded T rt U 86doet Notary se nth
STAMP
0512412018 08:230
C�
PERMIT* � r si .� i� 2 �J 18sue SATE
PLANNING & l3EVELOPM ENT URVICES
Building &Code Compliance Division
s
DUJLDU%(G PERMIT
SU&CONTRACTOR AGREEMIENT
the
For the project located at
zze e- 1-;e—) C.-
Sub-cowractor for
have agreed to be
Conhsocor) t
It is understood that, if there is any change of statue kegarding our par icipatioat with the above mmitioned
project, the wilding and Code Regulation Division of St. Lucie County will W advised ptlraught to the
filing of a Change of Sub -contractor notice.
ZCONTR4/0*65IGNATURE (QuolI ior) S RE (Qua119tet7
A
P NAME MLWNAME
COUNTY C$g' M--C—&'no NUMe1R puff" cHl. c1F1CATION
���jl :L
Stare of Flmidll, COYlla et�,�Cs,e. stoic oP'Flodda. County �-��-��---III
T foeegolag Insrrumeat waset>t. oelai a tb day The forasolag lastrgmonr was alga fare me 01U day
. _ . /�-_ __.. 1/ _ �� _ .. _ wha Is o�anaarlY lmow t hna gro3ueld a
*
SHERPJ FEHLMAN
*
Commission # GG 187160
- oe
` F�FFI°P
Expires Mar 22
RnImd 11115/2016
Banded iuBudgetNotarySam,,
asle teen/a,.
prine Name of Nor ry VUWC
SHERRI F�EHL�A(11,
Commission # G
G 187'160
9rFOFo� Expires March 14, 20
22
Bonded Tnru B,ogat Ko(ary Sen7
STAMP