HomeMy WebLinkAboutSub-Contractor Agreement PERMIT# 21 05-0608 - ISSUE DATE 01 June, 2021
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
e r -
- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT.
C-OC42 have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub-contractor for FSC Wood Crafts, Inc.
(Type of Trade) (Primary Contractor)
For the S3os Deer bil nQSo e ro'ect located atDi'' � /e1'1CC 3 y-[p J � , F�
(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.
CO2ftRAIETIOR SIGNATURE(Qualifier) RA IGNA URE(Qualifier)
G�! f'� CGlyl�it� ��� ✓�aa
PRINT NAME PRINT NAME
32390
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMMBER_-
State of Florida,County of S-K /Zo(,�!(�(Q„ State of Florida,County of�T, a ft
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
'UA.Q ,20>[by 20;by
who is personally(mown or has produced a who is personally known or has produced a
as identification as identiticatio
STAMP STAMP
i ature of Notary he Si of Notary Publi
Print Name of Notary Public Print Name of Notary Public
LARA CANUTO
A, -
NOTARY PUBLICY LARA CANUTO
0 NOTARY PUBLIC
STATE OF FLORIDA
t -+STATE OF FLORIDA
Revised 11/1 =Comm#GG917792zComm#GG917792NCE 1910 Expires 9/30/2023 �'4LE 1s1% Expires 9/30/2023
1,5 CCk
PERMIT# 2105-0608 ISSUE DATE 01 June, 202,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C
Z �N L li �� -a 1/Lt-lit L have agreed to be
(Company Name/Individual me
th Sub-contractor for
FSC Wood Crafts, Inc.
(Type of Trade) (Primary Contractor) r/
For the project located at �30 5- peer eud Oj" , Fl, f/C/'L'� 9 Telf✓r1
(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.
ft5TI-RACTOR-SIGNATURE(Qualifier) SUB-CI
N CTOR SIGNATURE(Qualifier)!S iZu�(J tV'PRINTNAME PRINT
`32390
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ST. Lo<<P State of Florida,County of The foregoing instrument was signed before me this 2 day of The foregoing instrument was signed before me this 2 day of
2021 by L h is t� J NN e .20 1 by i"IY 2 8"40
who is personally known {/or has produced a who is personally known or has produced a
as identificati as identif! do
STAMP STAMP
i e of Notary Pu lic S' otary Pubhr-
z4r/h. nvfa Zara CaIv fO
Print Name of Notary Public Print Name of Notary Public
tWty LARA CANUTO IARA CANUTO
NOTARY PUBLIC Q NOTARY.PUBLIC
w -STATE OF FLORIDA a '- STATE OF FLORIDA
Revised 11/16/2016 a Comm#GG917792 W Cann#GG917792
Expires 9/30/2023 400E 191% Expires 9/3012023