HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�Lp�lti� A/---i have agreed to be
(Company Name/Individual Name)
the un ( Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
�s 1-7 Gzd�%,4-140-e,
(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.
— X4271�--
CONTRACTOR A-T�URE (Qualifier)
`T�r�-'� `c�c�vm /4 1—
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofshmitL,
The foregoing instrument was sig ed before this V1 day of
24A by c t�" �iM
who is personally known _or has produced a
'dentification.
STAMP
ig ature of Notary Pub
Print Name of N
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this rldtiof
20_, by
who is personally known _ rQq
as identification.
STAMP
Signature of Notary Public
Name of Notary Public
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
gcc�'J {^-' have agreed to be
(Co pany ame/Individual Name)
the>-� I C/4 1 Sub -contractor for
(Type of Trade) 7� (Primary Contractor) p
For the project located at LJS �� % / . Z,(/ L T � 1 u--- FT
(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.
COze��—
MCTOfSNATURE (Qualifier)
i;RfNT NAME v
COUNTY CERTIFICATION NNUMBER�
State of Florida, County of;EQ,
The _foregoing instrument was s*ypled before me its c3� day of
2W , by
who is personally known _or has produced a
as entification.
STAMP
n ur of Notary Public
Print Name
ISSION#QQ2750fr0
� * 20, 2022
ndenvdtM
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
MA I- have agreed to be
(C Nam /Individual Name)
the L / Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located atl�il^�� /�� �i► ���� ``/ye 1` �^ <-/erlC--p
(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.
CCONTRAC SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of.S L.C:0 -
The foregoing instrument was
signed� edbefore me thiday of
20ek,
who is personally known _or has produced a �—
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
MY
�C HNA1M�RgM.RgHMING
Print Name of No S 11EMU 275WO
Revised 11/16/2016
Print Name of Notary Public
STAMP