HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the 'EG. k t'; ,g I G%- 4, Sub -contractor for J_iyJ 0 GAS _ / dln
(Type of Trade) (Primary Contractor)
For the project located at - <(3' f (2- Pf A) E 7�k EA—_
(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.
CO TRACTOR SIGN URE ( ualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
i
State of Florida, County of t I—Lt t
The foregoing instrument was signed before me this 123r day of
2oa ( by 3 0 a,v
who is personally known 11foor has produced a
�as identification.
STAMP
Si ature of Notary Public
IAAW.zJqM DO No (/4-4)
Print Name of Notary Public
raw Notary Public State of FlHenry Donovan ]Jr
+� My Commission HH 088457
yaw Expires 04112/2025
Revised 11/16/2016
COUNTY CER I I ATIN NUMBER
State of Florida, County of �„(
The foregoing instrument was signed before me this 3 day of
CILAe , 2((�( by l /kLVJ5 q UV"
who ism alb know r has produced a
y
otary Public State of Florida
aylin J: Mayy Commission GG N8981
xpires 1410312023
STAMP
6 01() DC) A.)
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMU
SUB -CONTRACTOR AGREEMENT
Sip/y/ �o*1.5 ,=pa have agreed to be
(Company Name/Individual Name)
the pL. um'6f ,06— Sub -contractor for �'j'1'r (ll S T« v®L S
(Type of Trade) (Primary Contractor)
For the project located at —" j A 0//1%'e- %— t f=
(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 SIGNAT (Qneli )
,i-o1F �L) ✓�
PRINT NAME
6?
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this O day of
JL) E . zap �, by sit# A) & - rtr A l_
who is personally known or bas produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
Notary Public State of Florida
William Henry Donovan Jr
My Commission HH 085457
Expires 04/12/2025
Revised 11/16/2016
14 � �'�Ze e � t-. �
SUB-C TRACTOR SIGNA1JME (Qualifier)
PRINT NAME
4
COUNTY CERTIFICATION NUMBER
State of Florida, County of 57— 1_U C/L G
The foregoing instrument was signed before me this O day of
by 1h
who is personally knows-- or has produced a
as identification.
STAMP
tare of Notary Public
W,I-.144 D49001/4.d
Print Name of Notary Public
2p Notary PUblio State of Florida
William�Henry Donovan Jr
+� My Commission HH 088457
�1aT Exp1'03 04/12/2025