HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
\1 A.Y LU; ry have agreed to be
(Company Na e/Individual Nw e)
the UIyl 1,, .✓✓ Sub-contractorfor '(gyp c,'k,�>�
(Type of Trade) J(Primary Contr1i, r)
For the project located at
(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.
t
CONTRACTOR SI TUBE (Qua ifier)
PRINT NAM
Ai>�>—_� t
COUNTY CERTIFICATION NUMBER
State of Florida, County of . W(:GL L,
The foregoing instrument was signed before me this day of
20 '2-,by 1 !�
r
who is personally known Yor has produce a
as ideAhcati6n I
STAMP
-3ignature of Notary
Notaarryp�Public �
Print Name of Notary Public
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State of Florldaarshn HH 02g7ggRevised II/l6l2Expires
SUB -CONTRALTO ATURE ( alifier)
PRINT NAME
S `3 l
COUNTY CERTIFICATION NUMBER
State of Florida, County of , u ---A L
The foregoing instrument was signedp before me this �q_ day of
P—, 20 21 by"1�7 j �,�•
who is personally known or has produced a
as id ttilriation.
Signa ure o Notary Public
OA/\ n. -D � \ od
Print Name of Notary Public
Q
URr 0K, N
otf" 61 , State of Florida
AMarsh
MY Commission HH 0267fi6
os a Expires 06/02/2024
STAMP
y-•
r_.
PERMIT #
' (Company N me/Individi
the ' � t= 6 tC A t—
(Type of Tra e)
For the project loc ted at
It is understood th
project, the Buildi
filing of a Change
ISSUE DATE
PI. A itr iNTTVr e> i1Z fi
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
.I,eobelr7- I-o., yu
Name)
have agreed to be
Sub -contractor for lood 1 6 2 e e
(Primary Con actor)
(Project Street Address or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
State of Florida, County o
The foregoing instrument as sigh—edd bbeefftire me this '� day of
,20 by.—�SLl_J to W IX
Who is personally known r has produced a
as identification.
Of Notary Pu
Print
Revised 1111612016
SUB -CON R GNATURE
tt (Qualifier)
Ra
PRINT NAME r
COUNTY CERT ICATION NUMBER
State of Florida, County ofC�
The foregoing instrument
was si ed before me this day of
p
by
who is personally [mown _.�er has produced a W
as identification.
STAMP ___-_,
J
Signature of Notary
`Pubiic � STAMP
rrmtName ofNo�rypubrl'D`
t",4 : .
Q�.0 P, Notary Public State of Florida
a A Thomasina Bowins
My Commission GG 201733
ZNj Expires 03/29/2022
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Notary Public State of Florida
.A Thomasina Bowins
a
My Commission GG 201733
ox'�r-`fi
Expires 03/29/2022