HomeMy WebLinkAboutSubcontractor Agreements i
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
7 have agreed to be
(Compan Name/Individual Name)
the � (e,G, vg c d.,9 Sub-co actor for PuAi -p CO os,&y(A)OT)
(Type of Trade) (Primary Contractor)
M For the project located at 0 Cf"ige' �Txt {Fin �j �'j b
(Project Street Addrtsor krolierty Tax ED#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
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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 SIGNATURE(Qualifier) RAErOR SIGNATURE(Qualifier)
c A"'re
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
S� �c,�
State of Florida,County of State of Florida,County of 1_"
The foregoing instrument was signed before mephis6(m
day of The foregoing instrument was signed bef a me this da of6\ 20• 4 b �Q� � 20,' b ,
who is personally n a V or has produced a who is personally known as produced a
as identification. as identification tJ
STAMP i STAMP
Sig] ere of ry Public( Signature of ofa ablic
�gw UG S%O
Pri t Name of Ain Pu lie Au' Print am of Notary Public
Revised 11/16/2016 ZftndedThru
,IOUBERT PIERRE
MY COMMIISSION 4 HH 026631
EXPIRES:August 2,2024
Nat2ryPub�clFndetvrtiiers
PERMIT# I SUE DATE
PLANNING & DEVELOPMENT SERVICES
u. iiding & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
I
have greed to be
(CoarpTny Name tvi ual,)n,me)
the Sub-contractor for
of'trade) Lac/c,
e V
(Primary Contractor)
Lam• Q
Or tite FFOject located at r„a 2 vo )C-q Y1v 1�0Y
(Project Street A dress W Noperty Tay;ID#)
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
I
filing of a Change of Sub-contractor notice.
C SUB R,CTUR SI NATURE(Qualifier)
PRINT NAMF PRIM NAIM,
� �� 0 C) c) �
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of_ J �� State of Florida,County of
The foregoing instrument was slowd before e s day of The o legoing Instrument was signed before me this day of
I}�6 L t
t1 ,zo ,b,� Ga ' ^ �,�t ,xo21,by. O\S
ho is personally known\_/or has produced a who is personally knonn V or Gas produced a
as identification. as identification.
I
ZP__A
w2A
uT:u•a i uiA i•i i
Signa a of rotary Public Signature of Notary
Gl K V-U ry
P•fnt Name of, otate Publ[c 4iNEi;IfV' fr,V t15�� Prin Name of N Mary ubl
x r}'��' :'r1 C(Jf:7(vSl:tulili:JFi�Ctrrlt3(� j .
�'• er c/rifi_a C 0J. °v2
f_ �r' 'Y,, hlS:e�r'6 d.•{::,y:u o1'
Ve
•.�;� 3Y1y l tsmntr uon HH 07C,.,'C!
C'T,%23{i i103/2025
Revised 11/16r2016 �`R- C
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PERMIT# ISSUE DATE ` 2Q
l
`.` PLANNING & DEVELOPMENT SERVICES
Building & Code %ompuance Division
o
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
t _ have agreed to be
( npan N ivi ameNddual Name)
the �ym jSll Sub-contractor for &&QJ) (�QnS _�16 Y1
(Type of Trade) (Primary Contractor)
i Or the�rrUJ L 10V at2d at �222 �\(�v��0� \Q\ 2•
(Project S -eetAd`dress or Property Tax IIb#)
It is understood that, if there is any change of status regarding o r 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.:
V
CO,1 CTOR SIGNATURE(Qualifier) SUBICONTRACTOR SIGNATURE(Qualifier)
PRINT NAME Q PRINT NAME
0 Z6
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
i I
State of Florida,County of aV 11���1 State of Florida,County of
�
he foregoing instrument was signedpb�efoofrc me this day of The foregoing instrument twas signed before me this 2 day of
20�1,b U� U l' C /\_ � l .2021,by
N o is perso any known_or has produced a who is personally(mown V o h s produced a
as i ntification. as identification. -- .
.•°�wY'P�-.. KATHERINE HAVENS
.......:BG°
'2 FAWAISSION#GGi
STAr.;:
Si o Notary Public EXPIRES:DEC 04,202ign tur of Not c '
''w„�FR �•°` Bonded through 1st State Insurance
cal v I k
Print Name of Notary Public j Print Na a of Nota Public
°' Nofa�yP1�CS��crtFlori�
1
03M
Revised 11/16/2016
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
}� guilding P
& Code Com lian a Division
.
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
i ►� ��e (> �OtiS �� have agreed to be
Company Na'jt�o/Individual Name)
the Y CQ����l I d'�1L�' Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at ` Y\w �6'A ?1Q-yN- 62 .
(Project Strerl Addr s or roperty 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 Coul ty will be advised pursuant to the
filing of a Change of Sub-contractor notice.
)A .Uoo
CONTRACTOR SIGNATURE(Qualm r) SUB-CONTRAACTOR SIGNATURE.(Qualifier)
C.
PRINT NAME P N. T NAME
310--) C /S l
COUNTY CERTIFICATION •UMBER COUNTY CERTIFICATION NUMBER
State of Florida,Counn of —U State of Florida;County of 5T
The foreg 'ng instrument was signed before in this day of The forego'I g instrument was signed before �e this day
_ `i 1 r
20 b 1 � C1D U1�Qn
who is personally known�or s roduced a who i pers nally known or has produced a
as identification. as identitie
STAMP STAMP
Sig a of No Sign ur Public
7
C
Pr i i Name of Not ry Pu c Prin Namei of M1ot ��Pub ie
I
pgr Notary Public State of Florida
Yeniiey A4s�'a �sr =StatedaCarrrniss*n HH a7s47o * C'mRcv;sed.l l/161?UI6 �Q kTav H14
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