HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
.\ `- t_� ry have agreed to be
(Company Na e/Individual N-Je)
the Sub-contractor for r r�
(Type of Trade) (Primary Contra tor)
For the project located at 1
(Project Street Address or Pro rty Tau 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.
fib..✓, � d,l�/ '"� .� ��„�n f �
CONTRACTOR SI• TUBE(Q alifier) SUB-CONTRACTOP-A URE ualirier)
�t' r r.fi W i l Z+r-t•
PRINT NAM PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of , ,, c"k f..' State of Florida,County of S'�uc(C
The foregoing instrument was signed before me ltheis\�day of The foregoing instrument was signed before
1me this day of
► C—C— ,20 211 by� OU\ �-,2011 by
who is personally known or has produced a who is personally known or has produced a
as idi tirt aeon. as ide it ation.
STAMP r % ����nv STAMP
Signature of Notary Publie Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
X- 9
State of Florida
Marshwry rYy� �ion HH 026766 .✓• Notary Publu State of Floridano2a .P '` Christine A.Marsh,�3' 1"tY Comm�saion HH 026166Revised 11/16/216 �lwnn` Expues08%2/2024
PERMIT# ISSUE DATE
PLANNING & DEVE r P ALI rr �
s 12di � JA `�S
Building & Code C oinp-1i--n-rc _-_�--L
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
't a C e Te)C/J60 be r 1- 1 Gt u k have agreed to be
(Company Name/Individual Name)
the C L 6 C( tC .4 L Sub-contractor for 1000/S [7 y 2 eq �e
(Type of Trade) (Primary Condactor)��
For the project located at
(Project Street Address or Pr erty Tax ID(h)
It is understood th t, 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.
I
CONTRACTO NAT RE fier) SUB-CON*A
16RYWIATVRE(Qualifier)
I C2� �J I Rp Lie r-r 10yt',
PRINT NAM f PRINT NAME
COUNTY CERTIFICATI tN�NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County o J � State of Florida,County off ) h
The foregoing instrument vas signed before W me day of The foregoing instrument was signed before me this (J�day of
(
X C ,20' by R 1ef�h \K ,20%,bywho is is personally known r has produced a who is personally knownY__or has produced a
as identification. as identification.
-- _—' STAMP ;55 _j, - STAMP
Signature of Notary Publi4 Signature of Notary Public
Print Name of Notary Pubic Print Name of Notary Public
,�,rgoi,^ems err'°r.� Notary Public State of Florida
Revised !t/Iti/2016 .At Pos `Notary Public State of Florida 4� A Thomasina Sowins
p y� A Thomasina 6owins 6¢ My Commission GG 207733
My Commission GG 201733 9oF. r Expires 03129/Z022
Expires 0312912022 ltr NOV t
i)