HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
i
COUNTY
F L O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
106V/S'
have agreed to be
(Company Name/Individual Name)
the o_Z e" B er2� _ Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at a5 DcC/?4//7 ' J�T /0/&/ 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.
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CONTRACTOR SIG:' TURE Qu lifier)
PRINT NAME
cm? }S<.G }__ (214a
COUNTY CERTIFICATION NUMBER
State of Florida, County of Q
The foregoing instrument was signed before me this 4O day of
who is personally known Z Or has produced a
asrdcntificatic»�.
STA1*1P
Signature of>61ary Public
G d/-f X. //%D��
Print Name of Notary Public
'arrOrdVle�*y+`.
d: ri,A-r P'r Nrtary Public atAta of Florida
w a Lori A Mp;c::y
e My Cornmmgvon GG 280148
fZCViSed I I/l 0I'te,�r,,� E-hpiren 11l2i1,2`022
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SUB-CONTRACFOR SlICNATURE (Qu fier)
PRINT NA►IE
/'7 Z SrJ ����
COUNTYCERTIFICATION Nt NIBER
State of Florida, County of%r%
The foregoing instrument
/was signed before meQthis ay of
���• by
rrh personally known �r has produced a
as identification.
' STA:NI P
Signature o otary Public
Print Name of Notary Public
r Nctary PLbtic SUItl of Florida
Lori A Mo„Yy
o My Gommia3ion GG 28014F3
' ,, od Expires 111281,21D22
�,r`V's
PERrrIIT # ISSUE DATE
7C oNT D
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
11C%C,A- 4W-r EL(rCT/2!C,
(Company Name/Individual Name)
the FLOC .P/�fiLr Sub -contractor for
(Type of -Trade)
have agreed to be
n
(Primary Contractor)
For the project located at 45A( ESQ� f'7` ,2e
(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.
CONTRACT01k SI NATURE (Qualir
PRINT NAVE
COUNTI' CERTIFICATION Nt ,►IBER
State of Florida. County of/
L_�r�
The foregoing in urnent ryas signed before me thic-4day of
2(12Vby Nerof�7�l
who is personally known or has produced a
as identification.
STAMP
Signatur f'Sotary Ptilblic
Print Name of Notary Public
r R a Notary Public Stats of Fiorda
?' 1:6 Lori A lvloxtey
's o Expires
rommkss,on GG 2809v0
5•sf1'" d' s11/20I2022
SUB-0. T 7 SIGN kTITRE (Qualifier)
PRINT NAME
COUNTI CERTIFICATION Nt'VIBER
State of Florida, County of
The foregoing inst umenl was signed before me this .!n?Dday of J
,2by /C l' G/� �I[��
who is personally known or has produced a
as identification.
STAMP
Signature oEXolary Public
Print Name of Notary Public
rV-11 w:, Notary Public State of Florida
N Lari A
o My Cvmmiss on GG 28a14
' c;= Ft&I Es:p,re3 1 V25/2022
Revised 11/16/2010