HomeMy WebLinkAboutSub-Contractor Agreementy
PLANNING & DEVELOPMENT SERVICES
w - ° Building & Code Compliance Division
�COUNTY
• R I ' A BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the
ell -I'll C /7 &OV / 11V
(CQmPany Name/Individual Name)
(Type of Trade)
For the project located at
Sub -contractor for
(Primary Contractor)
RECEIVED
OCT 2 1 2019
ST. Lucie County, Permitting
have agreed to be
C-2 -- 6
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)
_PRINT NAME
ZOUIWY CERTIFICATIONS I
State of Florida, County of Z h I
The for going instrument was signed before me this' /d Iday
of
20A by
who is personally known _or has produced a
as identification.
P
Signature of Notary Public
S. NIELSEN
Print Name of Notary Public =_ �,- State of Florida Notary Public
_• +_ 22
Commission # GG 207484
My ComJunmission
Expires
c --
SU CONTRACTOR UR/E (Qualifier)
C/
PRINT NAME
U12
COUNTY CERTIFICATION NU ER
f_
State of Florida, County of
The forego' g instrument was signed before we this / day f
20]1 by
who is personally known _or has produced a
as identification.
cf MP
Signature of Notary Public
Print Nam of NotaryPublic
E
=aF
S. NIELSEN
rida-Notary Publicon # GG 207484
ission Expires 12, 2022
Revised 11/16/2016
it �
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division (ZC:CCIVM
'COUNTY
• BUILDING PERMIT 0 C i 2 1 2019
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
A. have agreed to be
(Company, Name/I ividual Name)
�! Q ui pb-contractor for In
the C �� / /r/� �" r� (primary Contractor)
(Type of Trade)
For the project located at
U3 l0- Dr6
(Project Street Addtdss 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.
AOTRAC/TwOe4c NATURE (Qualifier)
111U!�
NT NAME
w v�10 ""1
iEOUNTY CERTIFICATION N MBERn
State of Florida, County of . Lo v i c
T6 fo/4eginn
g instrument was si ned/before met is� I day of
.20Ltby _IC 46.
a as
SUBCONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
Owner
COUNTY CERTIFICATIOMNBER
� State of Florida, County of c t E
.�' of
zr7,20B
instrument was sign efore me this
by 1
who is personally known _or has produced a
who is personally known _or has pro uce
as identification.
as identification.
MP
S
Signature of Notary Public
Signature of Notary Public
'rintNameofN nh NI[LSEI�
ICAB Fo ,Notary
N Pubii
74$4
SCorn 1ss1on #.GG 20 ExPifes
;��1Ne My 2022
"S. NIELSEN
Py,, KALE
S'
scPublic
state , of Florida-Nota207484
Commission # GG Tres
fission ExP
;h �c My Comm 12, 2022
41rE 0, FlJune 11111`
Revised I I
PLANNING & DEVELOPMENT SERVICFIS_�_v
Building & Code Compliance Division II
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting
(Company Name/Individual Name)
the IF / Ct%+—C I cd Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
have agreed to be
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.
1
CONTRACTOR IC NATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION UMBER
State of Florida, County ofLEI
The fore ing instrument was signed before me thin iof
2kL by
-.
+J
who is personally known _or has produced a � -
as identification.
STAMP
publiPrint Name aFy, ,ublic K/gRE °ta
`=C1PpY P°Bi,State of Florid # GG 207484
mission
oc CMY COf1missi 20 2Qif es
June '►
Revised 11/16/2016
SUB -CONTRACTOR
(Qualifier)
'0K
COUNTY CERTIFICATION N MBER
State of Florida, County of
The forego' g instrument was signed befor me this of �+II � y�,�
I.
`6YVv
20� by
who is personally known _or has produced a
as
of Notary
Print Name of Notary Public
EE-
AREN S. NIELSEN of Florida -Notary Publicmission # GG 207484 Commissicn Expires
June 12, 2022
PLANNING & DEVELOPMENT SERVICE kk C
f
Building &Code Compliance Division OCT 2,
ff¢
BUILDING PERMIT SdoLucizCounty 3(_', utcino f
SUB -CONTRACTOR AGREEMENT -- ---
(Company Name%Indivi"l Name)
e)
the
(Type of Trade)
For the project located at
(Protect
have agreed to be
y Sub -contractor for
(Primary Contractor)
_ Q -D D -a
w
-ee 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 of4_Ch e of Sub -contractor notice.
CONTRACTOR SIGNATURE Qualifier)
PRINT NAME
COUNTY CE TION BER
State of Florida, County of I V
T oreg ing instrument was si"beforee th' I day of2aby a
SU CONTRACTOR SIGN URE (Qualifier)
P�R N NAME
COUNTY CERTIFI ATION NUM E
State of Florida, County ofent was signed before me this d of0! ,by W2
who is personally known _or has produced a
who is personally known _or p
as identification.
as identification.
TAMP
STAMP
Si n re of No ary Public
Sig atu of otary bhc
Name of Notary Pf EN S . to S p blip
KAR F1o(,da-PIoG 7.01484
pouf
: ;r"i Pug, State ° %ssion # �xPites
« v= Com Commis2°Zp22
My .lune
Pr �@�q$Notarp(�lAV-icN S. NICLSE
Public
W;State of Florida-NotaryCommission #k GG 207484
MyCommission Exp e.� ,tune 12, 2022
Revised 11/16/2016