HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 19 v�,� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT *ECEZVED
AUG 19 2019
Permitting department
St. Lucie FL
(Compan Name/IndiidGa1 am'
theSub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project
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-co_%Wtor notice.
y
PRYNPIVNA*ME a
COUNTY CERTIFICATION N ER
State of Florida, County of
The foregoing instrument was signed before me this day of
201 , by M N1 I t' A M A
who - ersonally known _or has produced a7t U�
as identification.
ak4A R"
TAMP
Signature of Notary lie
4lK7�) v
Print Name of Notary ublic
•4Y AU
PUS., DREY B. HUMPHREY
*; MY COMMISSION # GG2 23817
EXPIRES: March 6, tars
Thru Notary Public Unde,„�+
'•,FOFf ;,. Bonded
Revised 11/16/2016
i
r
SVJ is - ' NATURE Qualifier)
/P 6a7��;
PRIN�yTyyA
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this—y) day of
20M by / u , 0 N / t—PJ MP
who is personally known _or has produced a ) ,
as identification. _ F� L )C•
<�YP AUDREY B. HUMPHREY
'A*'-."-- MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
'�P F��.'• Bonded Thru Notary Public Underwriters
7
PERMIT # ISSUE DATE
PLANNING &DEVELOPMENT SERVIC �CEI--
Building & Code Compliance Division RECIEZV"ED—
tJ_
BUILDING PERMIT
AUG 19 2019
Permitting Department
St�1e County
(Com any Name/Indiyi ual Name)
the
Sub -contractor for
(Type of Trade) J (Primary Contractor)
For the project located at
SUB -CONTRACTOR AGREEMENT
(Project Street
Tax ID #)
have agreed to be
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 JcconMctor notice.
`i
-:CON-TRACTOR GNAT' fie
PRINT NAME
CO � Y CERTIFICATION YNUNffl&�:R'State of Florida, County of'r�ii/�
The foregoing instrument was signed before me this day of
20 j, by d o net Nt f-A M A P—LM V
who ersonally known _or has produced a >/` %
4
as identification. d�1`C
53'4L?:*kt/rMF
Signature of Notary t#lic
4 KDk rty )� � I, W5)� lc-q
Print Name of Notaryublic
Yt '• AUDRE`� B. HUMPHREY
`` = COMMISSION # GG 300817
arch 6, 2023
*� *' EXPIRES: M
: - c?�' Thru Notary Pub"1r unde;udtOrs
••TOFF;,• Bonded
Revised 11/16/2016
r
SUB-CU S GNATURE (Qualifier)
PRINT NAME
FL
COUPTY CERTIFICATION NUMBER
State of Florida, County of -
The The foregoing instrument was signed before me this y/-�`7 day of yy�/ 1�
20M by ! '' , o J Y � i ji mp rho F /
who is personally known or has produced a
as identification.
Name-of
AUDREY B. HUMPHREY
„;; MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
�',eoF F PP Bonded Thru Notary Public Uodenxriters
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ItEram JV Or's. D
am
%ON=
AUG 19 Z019
Permitting Department
St. Lucie County f FL
have agreed to be
(Company Naine/Iro:vAdual Name)
the 9 % (' (' d i CI Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at Q � . ; �'� L j
(Project Street Addt•,ess�i rLLPr` perty 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 -con ,;actor notice.
CO RAC
-TOR GNATiffifiilj
irk�
I
COUN Y CERTIFICATION NUNfflER
State of Florida, County of
SUB -CO S GNATURE (Qualifier)
PRINT NAME
COUfTY CERTIFICATION NUMBER
State of Florida, County of //r
The foregoing instrument was signed before me this yday of f }- The foregoing instrument was signed before me this ) day of
QNAA 20_, by M N %7A 1 J/ A L V , 20LO by l'
who ersonally known _or has produced aTI`�% _�1✓
as identification.
(11'ltd
/v�U AMP
Signature of Notary lic
4 KD� r—ky �� . � /
Print Name of Notaryublic
AUDREY B. HUMPHREY
MY ,OMMISS►ON # GG 300817
IREoWY
MarchS nde;v�tors
TOFF;° -rUN
Revised 11/16/2016
who is personally known
or has produced a
• Z-IC
<ar!P AUDREYB.HUMPNREY
MY COMMISSION # GO 300817
.o = EXPIRES: March 6, 2023
�%.`�6 "• ` Thu No Public UndeWt"s
Bonded ru tary
PERMIT# ISSUE DATE
`i
PLANNING & DEVELOPMENT SERVICES
. Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Compan Name/Individual Name)
the •a D Sub -contractor for -
(Type of Trade)
For the project located at
Address or Property Tax
(Primary Contractor)
have agreed to be
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.
CO GNATURE (Qualifier)
e
amp Gil .
PRINT NAME
A/Y
COUNTY CERTIFICATION ER
State of Florida, County of
The foregoing instrument was signed before me thi�,,Yd ay of
20K, by6,0
who is personally known _or has produced a ��
as identification. 06
0"" J ' �g STAMP
Signature of Nota"Oubilc
Prmt Name of Notary P bbli
Ump
�D�BION� 300817
Revised 11/1612016 � �r % W Eoi mc�s-mat"8�
(Z/'
SUB_CONTRA&r0_JE41dNX'TLARE- (Qualifier)
r
1/l►/ • PRINTAAME
COUNTY CERTIFICATION NUMBER l
State of Florida, County of �— bl.a e
The foregoing instrument was signed before me thi�I day of
"C�, 204,by rP 0 hl i GN- tie l D j
who is personally known _or has produced a
as identification.
STAMP
SignatQu�re of otary lic 4
i QW
Print Name of otary Publ
rPf AUDREY B. HUMPHREY
*; MYCo9 ssioH#GO3MiT
EXPIRES. March 6, 2023
•''Fpf r, °`�' 6pnded Thm NMV AM UlMletNlW