HomeMy WebLinkAboutSub agreements- updated owner PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNITY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
li
f
f l �N have agreed to be
L � �
(Company Name/Individual Name)
the Q j v tM b ; , t; ` Sub-contractor for N Q�6'
(Type of Trade) /(Primary Contractor)
For the project located at qll��
(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.
OR SIGNATURE(Qualifier) SUB- CTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of C- State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this ( day of
5 ,20_U by sepe 201&by
who is personally known_or has produced a who is personally known_or has produced a b(�
as identification. as identification. QQ �
STAMP �Q,I�AZ STAMP
ignature of Notary PubliC Signature of Notary Publi�
1� tofNo EAT
Print ame of Notary Public Print Name of Notary �caav Po'�. H E
°�- R BURFORD
:State of Florida-1_+ *_ da-Notary Public
, HEATHER BURFORD Pam: Commission #GG 1
_State of Florida-Notar �'�n?FP�O��` MY COmnllsaion 83217
*� Commission #GG 1832blic fit February Expires
2022
"�� MYF CommiebruarsSion Expires
Y 06, 2022
Revised 11/16/2016
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C 0. have agreed to be
(Company Name/Individual Name)
the E(�c-f�; _ Sub-contractor for
(Type of rade) (Primary Contractor)K
For the project located at "/ CraC� G� S�P,N e,,�r a
(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.
CONT IGNATURE(Qualifier) SUB-C CTOR SIGNATURE(Qualifier)
Cr Ju2Ca a:L 'SaAp2CcZ
1RIN NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Lt S/ State of Florida,County of S+ L zx
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this J—day of
20�by ,20�,by
who is personally known_or has produced a �— who is personally known or has produced a
as identification. as identification. A
STAMP IL , d✓LI STAMP
Signature of Notary PuBlic Signature of Notary Public
VcnWdl @S,� I �-
Print f�11 od1-ary Public Print Name of Notary Public
THER Bl1RFOp blic
��u uF HEA Florida Notary 3217 uiu
=oParauB� ,saoenonlgslon#GG 18 fires `o`trP�e�� HEATHER BURFORD
._ mission Exp '_State of Florida-Notary Public
,p,; My Caym ary 06 2022 Commission #GG 183217
Revised 11/16/2016 OFF MY Commission Expires
',Fill%` February 06, 2022