HomeMy WebLinkAboutSubcontractor AgreementC1160UNN
ry
R.'J" E1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING. PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Nam Individual Name)
the l _(!AT
r � Sub -contractor
(Type of Trade)
have agreed to. be
for t'1 • ) i�t�-'S ���-%; af>
(Primary Contractor)
For the project located at
(Project Street Address or.Property Tax ID n)
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.
":2t7z/�
CONTRAC OR SIGNATURE. (Qualifier)
ktu ?y yv'l� %hir�S
PRINT NAME
! 0*5
COUNTY CERTIFICAT ON NUMBER
State of Florida, County of
The
rtforegoing
, _ instrument Was sighed before me this �J day of
who is personally knownor has produced a
as identiric ion.
6ignattro itrSotiriA. P Alit
bold
Print Nar i o ,,,k a- PybFAYE TITZPAI
,Notary Public -State of Florida
Commission NGG 366656
sr �' My Commission Expires
August 24, 2023
Revised 11/16/-016
4L11 0 0, &
S C i 'RACTOR SIGN. TIE (Qualifier)
Im; Jn('e_1 P'.-a,
PRINT NAME
COUNTY CERTIFICATION NUXIHER
State of Florida, County of
The foregoing instrument was signed before me this [G-'-�, of
who is personally known ____or has produced a
as identirica ' n.
STAMP / : STAMP
Signature.of Notary Public
Print Name of Notary Public
*miw
DeAnn A. Prue
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG926989
Expires 11/13/2023
PERMIT # 2-1 Q U _ C), ISSUE DATE
�PLANNING & DEVELOPMENT SERVICES
7 Building & Code Compliance Division
•
s r
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ServiceMAX of Indian River, Inc.
(Company Name(Individuai Name)
the Plumbing
(Type of Trade)
have agreed to be
Sub -contractor for A. Thomas Construction
(Primary Contractor)
For the project located at 7550 Pruitt Research Center Road, Fort Pierce, FL 34945
(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.
J
CONT CTOR SIGNATURE (Qualifier)
PRINT NAME
2(�C)Ll
COUNTY CERTIFICATION NLTNIBER
State of Florida, County of `7 Lk! - k • e—
The foregoing instrument was signed before me thisLday of
T20;X1. by
who is personally known -.Y--or has produced a
as identification.
j sTAx'fiP
Si a of N ry ablic
Print Na
,�\\AYE FITZPATRICK
`,Y pllj��
` ''s Notary Public -State of Florida
r= Commission * GG 356656
-" My Commission Expires
August 24, 2023
Revised 11/16/2016
PRINT NAME
St Lucie County - 3� ' O (,p
COUNTY CERTIFICATION NUMER
State of Florida, Count} of P ki F i ver—
The foregoing instrument was signed before me zcv
Say of
1 7
.2oZL by
who is personally known -1-or has produced a•
as identification.
I
AMP
Signature of Notary blie
G 9� 1lt. (!, C� .
Print Name of Notary Public
MCKENZIE J. WARD
Notary Public -State of Florida
-• •- Commission # GG 987570
My Commission Expires
y�wu\. May 12. 2024