HomeMy WebLinkAboutSub Contractor Agreementr
_s, PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
IN -
(Company Nami&dividual Name)
the E ec4W_.t-.e
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for e%lodJ� �i o ti % CG�141O �o c�) ems'
(Primary Contractor)
For the project located at �"%��Z 402 — 0 4v,- — 000— 5--
(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.
W 4,__
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
C CSC! 5-02.b3cl
COUNTY CERTIFICATION NUMBER
State of Florida, County of SrL IX r C
The foregoing instrument was signed before me this day of
() d 20jLl, b L706relMg0ftS
who is personally known or has produced a
Az7_�
SUB -CONTRACTOR SIGNATURE (Qualifier)
4141ft 146-156
'PR T NAME
�_U3olvc,Z
COUNTY CERTIFICATION NUMBER
State of Florida, County of . LL)cie,
The foregoing instrument was signed before me thissLZ day of
�! r 2OU by / Caq�;7'P--
who is personally known _Zor has produced a
as identification. as identification.
STAMP //, . STAMP
ign ture of Notary Public Signature of Notary Public
.-J141l cf )o4 rb0)R-S A/10'14W N#r12GI S
Print Name of Notary Public Print Name of Notary Public
.ot*aY °e`: RONALD JAMES NARBUTAS Y•P..
'_ • Notary Public • State of Florida a{�e�. RONALD JAMES NARBUTAS
• a` Commission # HH 028442 :� Notary Public • State of Florida
�A` Commission r9 HH 028442
ors+? My Comm. Expires Aug 5, 2024 �s
°F F` MY Comm. Expires Aug 5, 2024
Bonded through National Notary Assn. Bonded through National Notary Assn.
Revised 11/16/2016
2 , PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Powers Plumbing
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Renovation Technologies
For the project located at 4502-602-0165-000-5
(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.
NTRACTOR SIG T (Qualifier)
Robert Helmsorig / Renovation Technologies
PRINT NAME
CGC1522634
COUNTY CERTIFICATION NUMBER
State of Florida, County of .St Lucie
The foregoing instrument was signed before me this L-7— day of
V 20M by 12,60 T 4 e1M1 O✓'i
who is personally known or has produced a
as identification.
,0/0--"� STAMP
Signature of Notary Public
Ronald Narbutas
Print Name of Notary Public
`:,��<►rY P4 RONALD JAMES NARBUTAS
Notary Public - State of Florida
e`/ Commission a HH 028442
°g�;`: MY Comm. Expires Aug 5, 2024
Bonded through National Notary Assn.
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Robert Powers / Powers Plumbing
PRINT NAME
COUNTY CERTIFICATION NUMBER ��� Y�lot`
State of Florida, County of .St Lucie
The foregoing instrument was signed before me this day of
v 20,TJ by RD&60 // /�•..)a-*r
who is personally known ✓or has produced a
as Identification.
STAMP
Signature of Notary Public
Ronald Narbutas
Print Name of Notary Public
�•_
�=
RONALD JAMES NA�uTAS —
Notary public • State
Q
of Florida
MY CommCommlSEor a HH 028442
Bonded
through National Nores te ' 2024
g
ry Assn.