HomeMy WebLinkAboutsubcontractor PERMIT## ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(C pany Name/Ind►vidual Name) �
the }�/ �2 Sub-contractor for r AUll a-�' 1
(Type of Trade) (Primary Contractor)
For the project located at K /C AdJ �(/� D. &jb:,D i-Gb71—ovo
(Pro,ect Street Address or Property Tax ID#f —
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.
CONTRrOK SIGNATURE(Qualifier) JW5Z6NTRACiOR SIGN (Qualifier)
iy'AAy ALri
PRINT NA PRINT NAME
*416q C,--'cilz ?s-Lyi
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER "
State of Florida,County of 5 / / z_ State of Florida,County of L11 cA
The foregoing Instrument was signed before me this day of The foregoing instrument was sign before rise this day of
t/
V 20V by �Q� _,20-0),by
w ho is personally known_or has produced a JN—%/ who is personally known_�u produced a
as identification. as Identification.
Af �
STAMP �l/�/R/tf� STAMP
signatuh of Notary Public Slguatare of No Public
�wota ,1�—y�-xd'I�.�,t�, �i��k.�(�— t�E3�►� l Vic__,
Print Name of. ry Public Print Name of Notary Public
HEATHER B U R F O R D ��r!"' TANYA NEVILLE
�P"v"a MY COMMISSION#GG 2W68
3?0 � State of Florida-Notary Public r' .;
Recistd l l la�016 _� �= Commission # GG 183217 P: EXPIRES:October12,2022
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
���,L��+.t G�✓�G,14 C. 2;,,,P J;4U, .J) have agreed to be
(Company Name/Individual Name) '
the l r e�r t c0 Sub-contractor for
(Type of Trade) l (Primary ontractor)
For the project located at `2-47 4XL, 8l✓t:0- 141'X -6 o/-6G 7i Da+-6�
(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.
NTRA GNATURE(Q.116r) SUBCONTRACTOR SIGNATURE(Qualifier)
HAM
---
PRINT NklytE PRINT NAME
dig&q 1`. 260 -71
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 51__LQG� State of Florida,County ot'�;fi L_u L r t-
th
The foregoing imtrument was signed before me this Laday of The foregoing instrument was signed before me this day of
zo&by (1ovember.Q1,�otw=�
who is personally known or has produced a who b pavoaary kaowa a
as identification. as ideadficadoa.
STAMPUc STAMP
Sig atnre of lilotary Public y, Signature of Ndttry Pubbe
Print Nameme o�blic / Print Name or Notary Public
HEATHER,BURFORD
io�pe :Stale of Florid -Notary Public
*- Commission # GG 183217 NovtyPutwcStaeeofFlorida
Revised I1/16/2016 oFF��;A` MY Commission Expires e GMy Conwmasion inger P beater
February 0(i, 2022a*� g,�, 3� �9