HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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11010 I AYM
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have agreed to be
(Co any Name/Individual Name)
the Sub -contractor for �� i
(Type o Trade) I (Primary Contractor)
For the project located at:] O C" L cIgAa') \
(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.
rC07FREACTOR S NATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of r,(�—
The foregoing instrument was signed before me this day of
20�, by
or has produced a
who is personally known _
as identification.
C.% STAMP
gnature of Notary Public
Print Name of Notaff Public
HEATHER BURFORD
1P B
� State of Florida -Notary Public
.+ •: commission fi GG 183217
My Commission Expires
February 06, 2022
Revised 11/16/2016
SUB -CONTRACT R SIGNATURE (Qualifier)
ii`�llC�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed before me this/3day of
20"by
who is pe onally known _or has produced a
as identification.
q�I-A
G STAMP
SignatilrelorNolarf 1 ublic
Print Name of rqota6Public
HEATHER BU
State of Florida_ U'
Commission # o Y Pub/
MY Commission ! X8
Februar pires
res
Y 06, 2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Nayite/Individual Name)
the -, Sub -contractor for Sdr—
(Type of Trade) (Primary Contractor)
For the project located at —4 4-a0 S QCGraxL -�( C S m-sm 1��C?-e 5
(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.
CONTRACTO SIGNATURE (Qualifier) SUB -CONTRACT SIGNATURE (Qualifier)
)o , �qe"' ,,
PRINT NANIE PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of !J+ . "ex
The foregoing instrument was signed before me this 3 day of
0 , 20 Z) , by
who is personally known or has produced a C
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5; �:- LL/L','r
The foregoing instrument was signed before me this day of
1116411 20,Uby
who is p rsonally known _or has produced a
as identification__. /r as identification.
/ U STAMP STAMP
ignature of Notary Public gnature of Notary Publi
Print Name o Aary Public / Print Name of Notary Publif
HEATHER BURFORD
`o1PWPoa�., Public �'`ava HEATHER BURFORE
_ tate of Florida Notary =ot, ,e.�
Commission # GG 183217 _ ��_State of Florida -Notary Put
=• Expires
•= Commission # GG 18321
My Commissiona0 2 �' P��
, OFf 1 February 06, '�. orP�o%.'' My Commission Expires
"" February Revised I1/16/2016 y 06, 2022