HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 2104-0677 ISSUE DATE July 2021
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
C l o l N ( have agreed to be
(Company Name/Individual Name)
the M\/ PC Sub -contractor for LLS Development Co Inc
(Type of Trade) (Primary Contractor)
For the project located at 4704 Paleo Pines Cir, Ft. Pierce FI 34951
(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.
r'
O RACTOR SIGNATURE (Qualifier)
James Luman Dial
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of k OV-\ ?-\VS-P-
The foregoing instrument was signbad before �me this�k day of
20�A by cY�tl� "� W\
who is personally known or has produced a
.t-
as identificati
1
STAMP
Si ature of Notary Public
M\ 0\J14,
Print Name of Notary Public
SUB -CO CTOR SIGNAT u er)
PRINTNAME
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of 5� Lu"'L
The foregoing instrument was signed before me this 1� day of
who is personally lmownv- or has produced a
as identification.
r
STAMP
Signature of Notary Public
'j-Vf_e" P, e 'W Q
Print Name of Notary Public
STEPHANIEPARE'
MY COMMISSIONGG200865
EXPIRES: MAR 27, 2022
BORdedthf0UhlStStatelnsuraoCe
9
MICHELLE KIRCHNER
;o1�Yppi...
Notary Public State of Floriday°�add�
Revised 11/16/2016
:Sit a =
ey,2o�;
Commission#GG253992
My Comm. Expires Oct 19, 2022
PERMIT # p d/�^� -7 ISSUE DATE 'P`/
PLANNINGG & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUH,D]ING PERMIT
SUB-CONTRAC't:OR AGREEMENT
e. /_ >> a,q,:,j f �,.�bb.r
have agreed to be
Company Name/Individual Name)
the Sub -contractor for 1 L S I�
(Type of Trade) (Primary Contractor)
For the project located at
LI-7044 0a"_46 ge?:X,'r t�21'�er'e_p
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.
C CTOR GNATM (Qualifier)
i
%, /. Z_gWr77a n _Dcla 1
PRINTNAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ar,, iu /
The oregoing instrument was signed,)before me" `day of
by
who Is personally known or bss.produced a
as SdentlfiCa"on
STAR
ature of Notary Public
ff ),I 0�4 k 1C_4_("�
Print Name of Notary Public
D o "7 l
COUNTY CERTIFICATION NUMBER
State.of Florida, County of s___� La G 4
w.
The foregoing instrument was signed before me this I +day of
�` ,. 1 by
who is personally known or has produced a
as identification.
Signature of Nci ry Public
Print Name drNotary Public
Y Pie MICHELLE KIRCHNER =8i�ng
ate of Florida
erNota Public - State of Florida`Zo My GG 330259Revised ii/lti/2016 , ,i�Commission n" GG Z53992 23.'l'
My Comm. Expires Oct 79, 2022
STAMP