HomeMy WebLinkAboutSubcontractor Agreement {
.;PERMIT# ISSUE DATE
w h : PLANNING & DEVELOPMENT SERVICES .
Building & Code Compliance Division
•
RECEIVED
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAY 11 2021
PQrmitti-,g Department
Si. Lucie County
r -
C Via• G have agreed to be
.(Company Name/Individual Name
the P u M'E3,N36, Sub-contractor for ("A 16�ZOA � t��
(Type of Trade) (Primary Contractor)
For the project located at N (D i 1)NE FrE P(K--- 2GL _ PL 3 r 1
(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.
CONTRACTOR SIGNATURE(Qualifier) SU,Ii CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME P&NTNAME
:!>a
COUNTY CERTIFI TION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ( j State of Florida,County ofG��
The foregoing instrument was signed before.me this ay of The foregoing instrument was signed before me this day of
20 A by ,�1,II 20k by
who is or has produced a. who is personally(mown orhas produced a
personally kn07
as identiticati n. as identification.
STAMP STAMP
Si ature c f Notary Publi SWnature of Notary Public
Print Name of Notary Public Print-Name of Notary Public
r d' E
ARWEN D ADAMS
o , ARWEN D ADAMSNotar Public ,Stateof Florida� Notay Public Stdte of Florida Commission=GG 272920
`%.� Commission NGG 272920 Fr�°• My Comm.Expires Oct 31,2022
�.°`' My Comm.Expires Oct 31,2022
Bonded through National Notary Assn.
Revised 11/16/2016 Bonded through National Noiary Assn.
I)FFZ?, T b ISSUE HATE
PLANNING&DEVELOPMENT SERVICES
1-50
Building&- Code Complinnee Division RECEIVED
-- --' - BUILDING PER111T MAY 11 2021
SUB-CO-N MAC OR AGREnIEN-T
PQrmitti,ng Department
St. Lucie County
L StJW 1 C Sf l N C have agreed to be
�f; x lYaamdtrldi�'sdlaa9 l,;arlr)
floe t���)G sub-contractor for A Lv
(;F)-Peof7'rade) (Prin-ar?Contraca-or)
FbT for glrtaject lDmted at I 1nol�n L.y) 1'-� - P i t�
QProjeet Sireca Addrtiss or Pagpiny Tax ID#)
it is undustood that,if theii is any change of status aegarding our participation with the above mentioned
pToject,the Building and Code Regulation Division of St_Lucie County will be advised pursuant to the
filing of a Change o3Sub-contmcaor notice_
CON- E1�Z?DRs]C'-v)'URXj 4�wlc
Sli. SiG:-WIATni:f�3�
Oannoy) IZecxer mCR14A-AJ
RJUNTNAP1TE P N-TXAJ%1Y
3� 3is'�a
a:oarr+��t�aaa7uacA•nt�r�-unrnEra xou�"n•a,-Eaaaafncaano��unTBEea
CtalrtiT59nrn7a,���Y �l �Ut srmr mr Saza�-aa.�mvmre�'�Cil�
Qnrrgain�,ims'trnmrml asar.ay,artl SarTmr rnr 3hif�¢!m uT aav$aut�aing amlrwffirn1 mnx xr�xd na5nrr®r Ibis��¢e?
+nap fia pnrtinna'Oxiam+a mr�n pmavcrdn vlrm sa grcasam6'�t t•ancm�ry Ora�gvonflncxda
sl.o�ralnrim'L'nn. ns 6:azmli 1"sna
�SaA;19P STAMP
ranT�'n1�rrPn S�, lnrre,TV'ialnnc
r,2wc�➢ A6 eunLA I SirrnoN�
Print N2mr VT,olmy-PdLrir Prim iCarnr bT Mini),Pnbrs
one
�PnC{I�g�M Ficticf+
p e can Gci.9578k'.
r'v" ARWEN D ADAMS
�� a o /•��+•:�� �� Notary Public-State of Florida
as 7tt``a Commission=GG 272920
My Comm,Expires Oct 31,2022
Bonded through National Notary Assn.