HomeMy WebLinkAboutSubagreements, Plumbing And ElectricalPERMIT # I Q , 't 6 —7 '"') t I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) --�
the I e— tire r jk L Sub -contractor for &� kQ Y)f�Ca� � i n� t ` � f
(Type of Trade) - �_' C,�S
(Primary Contractor)
For the project located at�` _ i�
(Project Street Addressor Property fax I #) --- - -
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 -co ctor notice.
PR1NT NAh1E
2-?3�7`7
- -- - -- --
COUNTY CERTIFICATION NUMBER
State of Florida, County ofiLtic(c-,
_�r
The foregoing instrument was signed before a thiA-7? ,/ylg
20� �, by
who is personally known _or has produced a L
as identification. \
STAMP
Signa fire of NotaryPublic
KAREN S. NIELSEN
:o pSG.,ra nT F!a da-Notary Public
Print Name of Notary !i Commission # GG 207484
'o;f oe My Cnmm!ss!on Expires
"� `" .lane 12. 2022
Revised 11/16/2016
SUB ON ATURE ( u.lifier)
PRINT NAME
3q6 I
COUNTY CEITIFIC, 16N NL!KIB^}ER
State of Florida, County ofK 1r�
The foregoing instrument was signed before me this t f- day of
who is personally known _or has produced a�
as identifi a "on.
STAMP
Signature ota c
Print Name of Notary Public
DEBBIE LARSGN1
x. Commission # GG 206000
a'•� °= Expires Ma
7, 2022
`.9J�... •�p��:
"�.P,i',F• Bonded Thru Troy Palo Insurance 800-385-7099
EMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
��C�}rc�k� pivrnbitlQ _sojutionsl have agreed to be
,�ompany Name/Individual Name)
the 0 60" i q Sub -contractor for J _-
(Type of Trade) 'J a (Primary Conti -actor)
For the project located at
Street Addrbss 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 off-coyrt'ractor notice.
1
COUNTY CERTIFICATION N rMBER
State of Florida County of IL
The foregoing instrument was signed before me thisa of
by
who is personally known _or has produced a t`
as identification.
STAMP
REN S. NIELSEN
of Florida -Notary Pub
mission # GG 20748,
Commission Expires
June 12. 2022
Revised 1111612016
CTOR SIGNATURE (Qualifier)
PRIG NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of h'�-�"o
The foregoing instrument was signed before me thisat,, Ada-y�{off who is personally known \J or has produced a
as identification. f
Y/-As th7 1 A OR., S-Sa \ � )A 0 C,10 STAMP
Signature of Notary Pubic
Print Name of Notary Public
KRISTi�A4Ja��E7°
Notary PGbBc - State of Florida
Comrrdssior : aH 3916
ark° t My Comm. Exoires Oec 20, 2021
tOnded through National NOtiry Assr.