HomeMy WebLinkAboutRamgolam SubContractors Agreements PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
i/� W have agreed to be
(Company Name/individual Name)
the l_l/ //�K Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at l6gll� /�l �W
(Project Street Address or Property Tax ID 9)
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.
C
CONTRACTOR iGNATURE( uaiirier) SI R-CONzV SIGNAT ' E(Qualifier)
PRINT NAME PRINT NANIE
��c i�s �'� 9�
COI NT1 CERTIFICATION Nt"VIBER COUNTY CERTIFICATION NI HIRER
State of Florida,Countv of 7-1,;�7 State of Florida,County of 7-11:�
The foregooiiog instrument
was signed before
(rre �
e me this day or �J Fhe foregoing instrument was signed before me this �daavvyof
1-111
who is to or has produced a tsho is rsona rvn Zor has produced a
as identification. as identification.
STAMP STAMP
Signature o .'otary Public Signatur Votary Public
// Z �Y .
Print Name of Notary Public Print Name of Notary Public
=YJ
=Stataaf
ugT'w Notary Public S4a5g of Florida � a of plaridat.ari A Mosleyg +rMy Commission GG 2EIQ149 G 28pf48Revised l l/16/2016 NR ° Expires 11/28/2022 2�, CT f%
v4Pt�'�b��`
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
• s
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company N me/Individual Name)
the C E cTiP Sub-contractor for Meu ZWyz �S_ 0 PQQ�S
(Type of Trade) (Primary Contractor)
For the project located at (y� IqZVIIlq
(Project Street Address or Property Tax ID#) �!!9✓��
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.
CONTRAC OR 1GNAl'U (QuaiiPer) SUB-CON *' AIUR1 (Qualifier)
,�� C cry
PRINT NAME PR1Nr NANIE
Z7C oo ,,7 a 5,3
COl NTY CERTIFIC ION Ni''VIBER COUNTY CERTIFICATION MA1B1•.R
State of Florida,County of AzCT1/J State of Florida,County of FzT//,
The foregoing instrument was signed before me this_�_7day of The foregoing instrument was signed before me this day of
�lla�bs.
who is p sonallr k or has produced a who is salty know or has produced a
as identifcation• as identification.
STAMP STAMP
Signature Notary Public Signature of\ ary Public
�ri 1
Print Name of Notary Public Print Name of Notary Public
Va'1 Nctary Public State of Florida
EFEXpire31112W2022
otary Public Slats of Flarda f_ori A Moxfey
.uri A Maley g.__ y; hrty Commission GG 28Lt148
V Commission GG 260148 °aR,,eP Expires 1172812a22
Revised 1 I116/?Ul