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 Sub -contractor for
(Type of Trade) (Primacy Contractor)
ii
For the project located at
(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.
-CONTRACF0119143N4(Qualifier)
f'ii 1►� r�/`51 y
C013NW CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this day of
who is personally known has produced a
as identiticdtion.
.l 't
STAMP
Signa a ` r ryblic
� �f � / � I � air'. i �? � J•r .Y'I
SUB -CONTRACTOR SIGNATURE (Qualifier) _ : ; [.
l' r
PRINT NAME
- f -
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this 2i day of
who is personalty known ;,-*or has produced a
as idea ' tion.
r t STAMP
Signature JN._�iry PubIff
1 7
l 1��Lra ct
0�REvcCA1►CaEp 1EUYA�.
•c
Print Name of Nomry Public;
.a s of Flonda
c�--:,:;�, : cc 2ee1+z
Print Name of Notary Public
RZE"GaR reROZEu�A
c..t •- • ;;
"� +ti a:. o< F,o�da
it
1A i,c,••s 4' 18.2022
e` Ce—.•.s_c-i:n: 2Ci}12
9aceC;..c.4 "�.c.+ "e•aryAstrt.
«,.d _,r•_,. AP' 19. 2022
h**414! "a;ary Assn.
Revised 11/16/2016
DEVELOPMENT
sU&CONITRACTOR AGREEMENT
have agreed to be
(Company Name/Iadividttai Name)
the Sub -contractor for
(Type of Tmdtj Conaj
(Pnmary Contractor)
For the project located at 3�00 �-/ti ,L✓,., / = ,�- —�
(Projoa strut Address or Property Tax M #)
It is understood that, if there is any change of status regarding out 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.
-%_vnrxAUWO !FRIATM (QUIM")
PRIIVT NAME
CO LKRr r NCATION NUS ZR
State of Florldy County of f Q
7be foretoft Wsftmmt was *Bad before we thb �_3i day of
` ' 20 (, by P
wYo Isot penalb taowa 4or hn produced ■
u identtfilm a
Stpatare of Notary bi c STAW
c9�
Print Name w Notary Pabac
/ - GNATURE (QuHaer)
r NAME
CO CBItTZ(41ION NUM ER
State of Fonda, County of-Z; _7f ,Lc� e,
'It foretotns iutrw amt Was before we thb day of
7a 2021 by
who Is personal known —/or has produced a
AIdk
Print Nave of Notary Pnl1lc
BRENDA ROMERO ZEUYA
Notary Public - State of Florida
' Commission r 206712 BRENDA ROMERO ZEUYA
10
Kat1 My Cemm. Expires Apr 1S, 2022 Notary Public - State of Florida
ShrOt,An W OrAl Natary Assn% Commisson 9 GG 208712
�e�.: My Comm. Euires Aar 18. 2022
Qar del throult Nat'anal [Mary Assn.
STAMP
E
# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
G
(Company Name/Indivi/dualName)
the
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor
(Pr' Contractor)
For the project located at/`, c� J , a ,� 71-
(Project Street Address or Property Tax ID #)
It is understood that, if theie 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 CT IGNATURE (Qualifier)
r�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 G ri 1 ��
The foregoing instrument was signed before me this _3 day of
who Is personally (mown _eorhas produced a
JS f
Identiflcatlon.
reNotary Public
Print Nana of Notary Public
rsRENDA ROrERO ZELAYA
;r% Ncory Fublic - State o/ Florida
.n Commission C GG 209712
?q nd' my Comm. Expires Apr 18, 2022
R cuRn National Notary Assn.
i
SIAWONTRAC SIG TURE (Q
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_!�k L4
The foregoing Inatrament was signed .befor a me this day of
iW ,2021 by P/r'd S `
who is personally known or has produced a (_
as Identification.
STAMP �a'
Signatfim of Notary Public
G/4.4)oleA b- 9
Print Name of Notary Public
otPy41A CLAUDETTE D. PAYEN
Q o NOTARY PUBLIC
c STATE OF FLORIDA
n ? Comm* GG298272
WC—F111n Expires 2/4/2023
STAMP
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C 'T 2' Qj
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