HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # _ oraL ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
( pany a/Ipdividuat Name) J
the t Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at aA a ) P-� ( � � -1 �P -,�
(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.
O OR SIGN RE (Qualifier)
0-veg0ry 4 Jr
PRINT ]NAME
(fL3�_- i2�; iis7
COUNTY CERTIFICATION NUMBER
State of Florida, County of JT L4CI
Th foregoing instrument was signed before me thyisjs�- day ,of
J C 20A by e ga2id 7 t t Sur,
who is personally known or has produced a
as identification.
STAMP
Signature of NotaryPuune Notarization validates
�xwS n q signature only,
�/ � not document conten
rint Name of Notary Public
o&' ..- HASSNA SAhABRIAJ
1
Notary Public - State o'
.:Comm
or
27
oMy Comrr�sElx�ireGJu3 83oncec through Nationa: Nota
Revised 11/16/2016
SUB -CONY R'SIGNATURE (Qualifier)
�C)
PRINT N E
COUNTY CERTIFICATION NUMBER
'
State of Florida, County of ((��,,
The foregoing instrument was sign d before_me this '�day of
who is personally known or has produced a
STAMP
,ebmca esf�
� tY!v ,. KRISTIE DYE
MY C MMISSION # GG 939200
EXPIRES- December
111,, 2 2y3�
GFi �� Bp�jgd j}py pjy r•Yi111{i litldel'AAilets
i
PERMIT # / ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ue1,,Ler y ,6, have agreed to be
(Company Name/Individual Name)
the/P��, ��/ Sub -contractor for Lc,/sue%
(Type of Trade) /z (
Primary ontractor)
For the project located at c /,Sc, / C71,
(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.
•
O IGN URE (Qualifier)
PRINT N
COUNTY CERTIFICATION NUMBER
State of Florida, County of ✓-T �L/�i
Th foregoing instrument was signed before me this-N day of
20A by ( ) i
who is personally known or has produced a L/�wg' at°1
as identification.
STAMP
Signature of Notary Publ'tl�aV
t
_A� si'1 ai SDI-! -) L_'6 V/ a
Tint Name of Notary Public
HASShA SA'iABRlA
Notary Public • State or Fiorioa
� o- Commissior a GG 340327
91,
rf`::' My Corrrr. Expires Ju; 28. 2023
9Bonder through Netcora. notary Assr,
W""WIROPREPOW
Revised 11/16/2016
Notarization validates
signature only,
not document content
SUB-COCTOJR S ATURREE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The
foregoing instrument was signed before me this A3 day of
1 IUi� h , 20 a; , by O
who is personally known'_or has produced a
as Identification.
CASEY�ENCH
1`4 Notary Public ate of Florida
• 6) Commission # GG 167258
y.• �e
^y ,�l r �oY My Comm. Expires Dec 11, 2021
Bonded through National Notary Assn.
i
STAMP