HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTCOUNTYLORIDA
PERMIT#ISSUE DATE
PLi\NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I'UILI}I}iG PER*IIT
SUB-CONTRACTOR AGREEi}I E]iT
i,
fi€j
sJ ,fP €rs
(Companyrhe Ft
have agreed to beNrmcilndividualName )
A,/frts /rUG Sub-contractor for ib*J{z )#f{Type of Tradci (Prirrary Contractor')
For the project located at IOZ Z r.t 4A ".Ep,fa-,drz
(Pro-ject Srreet Addrcss or Propertl, Tax lD ji)
It is understood tirat" if there is any change of status regarding our pafticipation u,ith the above nrcntionecl
project. the Building and Code Reqlrlation Division of St. Lucie Counry u,ill be adr,ised pursuant to the
filing of a Change of Sub-contractor noticc.
,/r'/i
STG\-\TI.'Rf
"{,rt
o\
w tu#Ks
*4 ffi.dl
""'#)*/t4-CE
Stilte frf Fl,Dri{ra, Cnuntl.erf
CE Ttilc{TI{)\- \U}tBEtt CFL /d7
Stilru of Floridr. f ounn ,,t1+_.lUf*ii _i-
'l-he fcregoing inrtrfmant lrir$ ,
firvgrrrbeqloi-!.. h3
*ho is ptrrnnntll lirmnn sr has prarluced a ;V l--. : C
lrho is p{rrsonall}'knorrc or has produccd a
ar identificati{rn.
]\*ot*rt
9S
Print X$mr ofl$tary
'Ihgfrye4oing instrumcnt rl a$
/{Mfuz,t&(.r1
d-d oar ornrc this a"
signr:d trefore me tlir,f__ rlul.ol
ils
JESSE DOSS
t6fiilHiron*ce
Expiras September 27,ol Sotary Public
ffi Notary Public Slate o! Flctrda
Lisa Bonura
Mv Commissron GG223725
E;prres o5/31/2022Iltriscd ll I(rlill6
ss
L
Srndr:1 il.s B.d$ol flolai,v Srrica.
\*nre of Notr4' lr*btic
S I'A}IP
8,
,d-ff*.*"
PERMIT #
l4 >
>tu! r
Pn-.qt 59\{; & sEvEX_OP},{ENT SER\.'ICES
Building & Code Cornptriance Divisioli
BUILDI]iG PERII.IIT
SL:B.CGIiTRACTOR AGREEMENT
'*T-.itr-, ;* -4 t--
{Companl'Name,'Indir.idr,ral Narne)
have agreeci to be
f-b S,-itr-contractor for {*;frc, rac,the Le-cTR-r c A (-
{T3,pe of Trade)
1 Pri n.rar_v Contractor)
For the proiect located ar L/t1 ,.*1,."1- U,L
( Pro-iect Srre.-: Adrjrcss oi' ProperB: Tax ID = i
It is understood that. if there is anv chan_ee of starus re-tarding ollrpamicipation rvith the above mentioned
project, the Building and Code Regularion Dir.ision of St. Lucie Counrl. rvill be adi.ised pursuant to rhe
fi1ing of a Change of Sub-contractor llotice.
SIC liAT[:RE (Qu*tifi er)
!'jii
tl .u
,!-ril
!? 83
State of Florida. Countl of
5r-"t u"r KL
PRI\T'\A\IE
"J- Et- I3c0b /{,
cERTTFICATT0T xr.rieEn
:tatr ol Florida. ( (,urn of ":a .. L.;- - .'d
I'hc foregoinq instrument rlas signetl before me thir & da-r.of
{}r.rq r**€ r.*ar.?.4 iL-,Br t^.\hv
n ho is pr.\i\{rnalh kn{)\r n _or has produced a L f LiS *_
a5
rae this cf
rrho
*i
Name of
krorva or ltas produced a
Public
\!
,*
{atrly Puilic Stare of Florida
Lice Bqnura
iily Commrssion GG 2?3725
;xFuar 93131/202tRcvisedil th20io
,*
Expkes Septernber 2?,'
\ame \ctan Public
€r'*
s-r{.\iP
LORI
ISSUE DATE