HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
COUNTY
F L 0 R I A A
IL A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(CompanyName/Individual Name)
the _ ROOF tr1G Sub -contractor for � � � (���) r�' T t ►U)71 Er ,. �-� �--
(Type of Trade) `l (Primary Contractor) /
For the ro'ect located at
]
P Sri�
(Project Street Address or Property Tax 1D #)
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 d pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier) �/,I✓> SUB CO RACT t5! A URE (QuatitFer)
Avt' &Atzt,a
PRINT NAME
COUNTY CERTIFICATION NU R
t
State of Florida, County of ZW("�
The foregoing Instrument was signed
-before ettdsZdayof
who Is personally -known V or tins produced a
as ide cation.
St nature of Notary Public
Print Name of Notary Public
163° Sa
COUNTY CERTIFICATION NUMBER
State of Florida, County of 01A'IL `
The foregoing instrumentwus signed before me this _,.,, day of
T"wj 202by .5kt0L- �ron�lGrc—
who is personally known -1-or has produced a
as ide Mention.
STAMP
Signs a of Notary Public
(';flt�C_�A �IZAT17�t1`R�i1�t
Print Name of Notary Public
Notary Public State of Fkxide
�" Patripia K G411i0
248572
Revised li7ib2016 � pas aeisa�aaza
H'W � Notary Public State of Florida
Carmela Frantantoni'
h �w My Commission HH DOS=
0� Expires 06104/2024
STAMP
PERMIT # ISSUE DATE
COUNTY
F L O R i D A
L.
PLANNING & DEVELOPMENT "SERVICES
Building.&.Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Primary Contractor)
(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.
`-r
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
/4 kt ' 6,42.v .r
'PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
Th foregoing instrument was signed before me this � day of
2Qtp),h!
r,
who Is personally known produced a
PRINT NAME
COUUNN r CERTIFICATION NUMBER
State of Florida, County of "k? 1~ rQ
The foregoing instrument was signed before me thls.0 V .day of
z, by (10
who is personally known )0or has produced a
as identification.
STAMP
Signature f N ' ary Public
I'it�tc of Notary Public
RO%
Notary Public Stets of Florida
Patricia K CollinsMy Commission GG 248672
Expires 08/24/2022
Revised 11/16/2016
=Abiqaq�HELefebure State of Florida
ebureion HH 120187112025
STAMP
w
PERMIT #
For the project located at
PLANNING & I
Building &
(Project Street Address
It is understood that, if there is any change of
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
3/il1 v .J vl�
PRINT NAME.
COUNTY CERTIFICATION NU DER
State ofFlorido, County of e
w
The cegoing instrument was signed before
we this day of
T"n
20'�, by �! t
who is personalty known or has produced a
tt`
� S
7atureNotary Public
Notary Public State 01
Patricia K Collins
• My �ommisaron GG
6xpitetii o812_ 4� i
2022
Revised 111W2016
ISSUE DATE
:,OPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT
rr// (� have
e agreed to be
for �(� t� �1 ,7 ��1Ht%) ll6 . LL-
(Primary Contractor)
our participation with the above mentioned
St. Lucie County will be advised pursuant to the
i INC 241nrri &iv
PRINT NAME
COUNTY CERTIFICATIONNUMBER
State of Florida, County of The foregoing instrument was signed before me thisrday of
L , 20>C( by WAYW�im
who is personally known A or has produced a
US identmeation,z) _
of Notary
a
llotary Public State o1 Florida
Kimla J. SimoneMy commission GG 957803
Expires 05/1812024
STAMP
r.
I
PERMIT t/ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building S Code Compliance Division
BUILDING PERNIlT
SUB-CON'1'RAC_1'OR AGItrE IP,N•C
have agreed w be
((.'onthanY Name: fndi\ itlual Name) Sub-
conU-act(lr tilt-
1l'ype ul"1'r:ulc) I I I'rimar" Contractor)
15 C ry �s--► ".Uv— —
Fur the pro cc[ klratccf at �_� -- --14-4C6-
-_.-__-_-_-- --
{Prt,icct Street Addrwsjlx properlyTax I1)'=1
It is undc.rslood that, if there is an}I change (11'statluS rc�1.ardinl1 0111 partieihatittn with the ahoy c mentiunrd
I
IWO ect; the 131.1ilding and Code Rea llation Divisk)n ol' St. Lurie County Will he advised Inlrsuant Itt the
filing, ot'a Change of Sub -contractor notice.
C oN1'R.\C'1•t1R SIGNATURE (Qnalilier)
i
tr l 4
PRINT NA\IF. I
CO NTN' CERTIFIC A'l ION NlAIII :It
\
.lhuc of Florida. Count\' nl' t n V "1
I'll 1'orcgoing instrument Has si,-ncd beroye file this 9-�day of
—=— '-It. by 1 —
1 s perstmull�• knoe n or has produced a.
as We lit cation.
t^
attrc of Nolar� Public
pl 100
Prim Nntoc of Notary public
Notary Public State d Florida
=o`er �O`Q. Patricia K Collins
Ally Commissidn GG 248672
`po Explras 08/2412022
�' or a
R. i,cd I I I6.2016
SI r 1'QTtt\C 1 Ia\,\'I l9iF; 1Qualilicrl
COI I NA Y C'EI?TI1:1CAT 10x NCNIRER
titalc ql" Florida. Connl� of ���C�."L
Thc.i'urcgoing inctrtlmcnt was signed bclbre file this lbda.\ of
tsho is per+onallY known ur has produced :1
:1\ IlIIIICa llllll.
tii{,1':1� ul' Nul:u•� iiblic '
cQ A col
Print N:unc of Nota •t Public
Notary Public State of FWda
Tracey R Mascofa
My commis l GG 938134
�j« Expifes 04f28/Z024