HomeMy WebLinkAboutSubcontractor Agreement\ PERMIT # ISSUE DATE
PLANNING &. DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-14
X } - � C have agree be
(Co pany Name/Individual Name)
the Elsl: C X\ Sub -contractor for St. Lucie Habitat for Humanity
of Trade) (Primary Contractor)
For the project located at 1301-607-0240-000-4
(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.
CONTRACTOR SIGNAT (Qualifier)
PRINT NAME
COUNTY CERTIFICATION ]NUMBER
State of Florida, County of T�t
The foregoing instrument was signed before me this�jd f
l
ZO,� by ��Wv'-
who is personally know or has produced a
M
L
STAMP
Signature of Notary Public
Print Name of Notary Public
F
yae pu Notary Public State of Florida
Donna Lea Askrnan
My Commission GG 174054
Revised 11/16/2016 7"+sdP E�Fpires 01/0912022
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 3 + . Ct
The foregoing instrument was signed before me this L day of
P�L 20 Aby . .CV L,-(
who is personallykn6wn ` er has.produced a
as identification.
Notery.Public State of Florida
Dena M Fuliwood
STAMP
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ISSUE M-M
:PLANNING & DEVELOPMENT SERVICES
- Building . :Code Compliance Division
e
BUILDING PERMIT'
SUR.CONTRACTOR AGREEML;NT
have anted to be
(Company NantdlndividtW Name)
the U %) iA-
(Type.ofTrade) . Sub-co>atracbor for j ",�yG' 'Co
(PrimaryContracior)
, .
For the project located at`
(Pmf: a Strtct Address or Pcopc* Tax ID
It is understood that, if there is any change of tatu ss 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: Cbange of Sub -contractor notice.
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ComMission K' 174054
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PERMIT # ISSUE- DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lk c %' Q- l la b. AoA hoc` H s A chd) i:�y have agreed to be
(Company Name/Individual Name)
the T Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at `7 q ?) '(,'� yc.- 'FL 3 9 qx-)
(Project Str7e-ef 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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of i 1.
The foregoing instrument was signed before me this day of
kA 20 G1 by i
who is personally known _or ha's produced it
as ntification.
kJ\
'�' J'\r_
Signature of Notary Public
� p1Q nm L�" Ak�
Print Name of Notary Public
etc Notary Public State of Florida
Donna Lea Askman
My Commission GG 174054
COW ' E*piresol/0912022
Revised 11/16/2016
STAMP
PRINT NAME
COUNTY CERTIFICATION NUMBER
�
State of Florida, County of , (J✓✓C I P/
A
The foregoing instrument was signed before me this day of
20a,_, by _�
Who is personally known Lor has produced a
as i entiti`cantion.
, STAMP
Signatyuyrree o/fyN�o ary Public
Print Name of Notary Public
L
o' Notary Public State of Florida
Donna Lea Askman
,c< My Commission GG 174054
ovndE�kpires01/09/2022
1
the
PERMIT. # ISSUE DATE
(Type
N
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT•
i1\ LI NtbL-k /
have agreed to be
Sub -contractor for St. Lucie Habitat for Humanity
(Primary Contractor)
For the project located at 1301-607-0240-000-4 ? q03 S rc -AV ne Ave.
(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.
CONTRACTOR SIGNATURE (Qualifier)'
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of,
Ur
The foregoing instrument was signedt� before me this day of
TOL .20 -2,1, by
who is personally known ?/r has produced a
as ' ntification.
ignstuiIe of Notay
�Public
Prilst Name of Notary Public
SUB -CO RA O IG ATURE (Q alifier)
& Xel L - Gillww►-
PRINT NAME
rk, ?,SsS3
COMY CERTIFICATION NUMBER
State of Florida, County of PC,Lm C'61^'
The foregoing instrument was signed before me this ZS d Y of
,2o?.t,by
✓Q.tlin G. 6i�lwy'�
who is personally known ^ or has produced a
as identification. Lauren Travanti
/f� eta ok NOTARY PUBLIC
STAMP 09 STATg1%5&0RIDA
ture o Notary Public a Comm# GG326850
ONCE Expires 412212023
LL a tt," L I rovv k(
Print Name of Notary Public
Notary Public State of Florida
Donna Lea Askman
MY Commission GG 174054
Revised11/16/2016 oFad' E;plires01109/2022
PERMIT # ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
Building* Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
y have agreed to be
(Company Name/Individual Name)'
the %, f; ,y c, Stib-contractor for St: Lucie Habitat for Humanity
(Type of Trade) (Primary Contractor)
For the project.located-at 1301-607-0240-000-4
(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
filing of a ClYange of Sub -contractor notice.
CONT ACT SI ,'ATU . (Qua iher)
T� - C.C.L.AEoUUJ
PRINT NAME
COUN7'1` CERTIFICATION NU�NIIBE,R ,,
State of Florida, County-of_�Luc
-The foregoing instrument:was signed before me this of
, 2o1b.by d
who is p rsonally. known✓ ur has produced a
as i ntification.
STAMP
Signaturc:of.Notary Public.
--Dd nm Lft
Public
=o#W Notary Public State of Florida
Donna Lea Askman
J
My commission GG 174054
,c
7N, tl, Expires 01/69/2022
Revised 11/16/2016
advised pursuant to the
.S! eve'
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 7a-h day of
APr f 1. 2021, by 5'�'Ve il)
who is personally known .Lor has produced a.
as identification.
2n(1(1,{iJ) . % ✓ STAMP
Signature of Notary Public.
ry're (Acf 44W a -
'Print Name of Notary Wiblic
v0 Notary public State of. Flodda
+1 `�`; Ntellasa liruby
' • My Comminian HH 075534
jaM1p Expire3IW912024