HomeMy WebLinkAboutSubcontractor Agreement RECE D BAN 09 2017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
0
o
- ---------_ -- -- -- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
c
PO mes have agreed to be
(Cpl4any Na e/Individual Name) I
the � 1 i� Sub-contractor for 20W>J
Type of Trade) _ (Primary Contractor)
For the project located at /-7e9 Gd'I
kt-a-,
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTO IGNATURE(Qualifier)
-)P,z, n 6(d,(-Iu 61if ne-
PRINT NAME PRINTNAAMEE I_
/� I l 0 113_7 �L-� l� D 113 7
COUNTY CERTIFICATION NUMBER _ COUNTY CERTIFICATION NUMBER
State of Florida,County of�� ��+J State of Florida,County of
T'e f regoing instrument wassiamd before m his 1 C day of The o egoing instrument was signed before me is --day of
200by �v `1 1 20�,b I 1&N
who is personally known_or has produced a L who is perso ly known/i or has produced a C/
as•dentification. s ide ification.
�ST STAMP
Signature of N'to Public ignatu a of N a Public
Print Name of Notary Public Print Name of Notary Public
�i"'°"e'• NANCY MIMS ARMSTRONG ti '"I%'•. NANCY MIMS ARMSTRONG
�R MY COMMISSION#FF197899 =° MY COMMISSION#FF197899
EXPIRES February 10,2019 ,, EXPIRES February 10,2019
(407)39F 53 Floridalloa 5ervicexom c
1407)3. t FloddalloaryServ'v e.com
Revised 11/16/2016 --
PERMIT tl l-7 CAS " CCj ISSUE:t)ATE
5 PLANNING&DEVELOPMENT SERVICES
,• Building& Code Compliance Division
u,. BUILDING PERMIT
SUB-CONTRACTOR AGREE31EINT
�� ►*� it • 1.7 GI C� i.•'1 t have agreed to be
(Company Ni atne/lndividual Name)
the N-� Cc Sub-conttactor'for ter.4,nrc ..�Y.
(Type of Trade)' (Primary Contractor)
. �"4• c cz �gyForthe .I � �
(Project Street Address or Property Tax'ID#)
It:is understood that,ifthere 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 SIGNATURE(Qualitter) SllII+G .TRACTOR SIGNATURE(Quoliaer)
PRL%T NA11E PRM:.11I1;
T�f1I CJ�137 � o
COL•b"rV CERTIBICAUON xMIBER COLTM CEWrIMC klnO'�i.,NU1IB£R
State of narlds,County of State of Florida,County or5b:L. C i 1
The fottigo[ag(nstnuaea't4was signed before ale this day of The foregoing Instrument was*ue l before me tht,45 ifay of
TOJ1,gYItJNI.� �2I/'1!� - _+till�,by.
1.
who is perzonauy Imown,or has produced a Hho Is personally known or Gas produced a
I • a deatiatatlon.
as idtntiticatioth
STAMP `. STAMP
Si nature of Notary Public
S luroof,of PbHc $
CIr; :..a CQ l
Print Name of lotary Public Print Name or hotacy"Public
e •••1• ,ffI11MI�
. s,+,•y NANCY MIMS ARMSTROt�G , ,.. .,, 1
COTE'
::o. Ham Mitii>c 01 Flot )
N. MY COMMISSION#FF 197899 _•, {F 23755L
A" EXPIRES February 10.2019 COI�rM•! Avg S.2�" a
Revised 11/1 612 01 6 (4t»f 398 3 Fb�rroia. Setv�ca•w^ NQ;i',�. LOQ�
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