HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# T
ISSUE DATE
r� n PLANNING & DEVELOPMENT SERVICES
`' I Building & Code Compliance Division
RECEIVED
a . -
-_-_0 BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT APR - 5 2021
Permitting Dapartment
St. Lucie County
Pr,�r t- k F 1 e I"..Il i C C have agreed to be
(Company Name/Individual Name)
the— lgoC 4r t Sub-contractor for
(Type of Trade) (Primary Contractoorr)
For the project located at r p� ? c/ � ]c.` 1 G� /' 0 rf j�t'�C�
(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.
_kli A A
C NT CT G` ATUR ualifier) S T CTOR SIGNATURE(Qualifier)
k c f�
P AME/� PRINT NAME
Ec CERTIFICATION Z7 5 ER COUNTY/ � 1 CERTIFICATION(�0J7 2�l
State of Florida,County�7 L'_z State of Florida,County
The foregoing instrument wa . d before me this day of The foregoing instrument was sign efore me this 'J day of
a 20�t by G� s 20�,�y t
who is personally�as produced a who is personally know�r has produced a
identification. as identification. //
STAMP STAMP
re of Notary Public Signa ary Public
Print Name oYftfiry Public<3 Print of Notary rjufilic \�
oAr a
aP Nota yY Public State of Florida EDanyeihones Notary public
M mission Danyei StateofFlorida
oir►° ExpCe 07/04/2023 352016 ones,�� EXpeymmission GG 352016
Revised 11/16/2016 �7IC4/2p23
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES RECEIVED
` Building & Code Compliance Division
• APR - 5 1011
— — BUILDING PERMIT Permitting Department
SUB-CONTRACTOR AGREEMENT S,, Lucia Courtv
l li 6q,e l�7�a G � 1�Lt�l. /,7 � Gi have agreed to be
(Company ameAndividual Name)
the � 'A, Sub-contractor for �� _ o
d i-c-cqyet,
li N1, _ S
ape of Trade) (Primary Contractor)
For the project located at ko F
(Project Street Addre s 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.
CONTRXCTOR SIGNATURE(Q ier) SUB-CONTRA OR SIGNATURE(Qualifier)
cf r
PANT NA PRINT N AME
COUNTY CERTIFICATION NUMBER COUNTYCERTWICAIION NUMBER
t
State of Florida,County o (( � - State of Florida,County of U Q
T e foregoing instrument was signed before me this day of The foregoing instrument was signed before me this r�)day of
�S \ 20),5 by OL L' d rfi- T 20'(by t r J
who is person ly knor has produced a who is personally know as produced a
as identification. �` as identif anon.
STAMP STAMP
Signature of No Public Sign ture of Lary Pu
Prin f Nota ubfic Print of Notary Pu c
=pd`r°ke Notary Public State of Florida r"�
f IDanyel Jones 4 X Notary Public State of Florida
e Ay Commission GG 352016 Danyel Jones
4a�d0 Expires 07/04/2023 '. ` MY Commission GG 352016
asfL Expires 07/04/2023
Revised 11/16/2016