HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT,.:,._. , PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L � f .4 \,K1 ► X have agreed to be
(Company Name/Individual Nar e) y e
the v► J Sub -contractor for 90 1,r
(Type of Trade) (Primary Contra tor)
For the project located at o�Lico,—^-P`-u J"u
(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.
it Z
CONTRACTOR
SI TURE ( alifier)
PRINT NAM
COUNTY CERTIFICATION NUMBER
`
State of Florida, County of , �\)C1 L
The foregoing instrument was signed before
` pme this
\� day of
201 by I'� 1
fo
who is personally know nV or has produced a
as ide tiF ation.
L STAMP
Signature of Notary Public
Print Name of Notary Public
�'W P Notary Public State of Florida
Christine A. Marsh
+y_-_ � My Commission HH 026766
�o Expires =0212024
Revised 11/16/2016
JL!`
SUB-CONTRACTO IG ATURE ualifier)
Z\AN " x
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �;C. u. , e—
Theforregoing instrument was signed before me this 1 ` day of
ef
YAd1(..�. - + 2QX by W
who is personally known _* has produced a
4
as ide i cation.
/ j ��
��R°1✓ 1.' Q./i v STAMP
Signature of Notary Public
Print Name of Notary Public
.rlr
j.✓y 0 Notary Public State of Florida
Christine A. Marsh
Y-K My Commission HH 0267C�6
i„ilt ExprrEs 00/02n024
..s
r-
PERMIT #
I
(Company
the C- � 1= e
(Type of T
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Budding & Carle ! nrr-A.,Iy3rin- f'
,4L
For the project loc4ted at
i BUILDING PERMIT
i SUB -CONTRACTOR AGREEMENT
Mober7- 1 yu
Name)
have agreed to be
Sub -contractor for {ooc S' hV A R e e
(Primary Con ctor)
(Project Street Address or Property Tax ID #)
It is understood that t, if there is any change of status regarding our participation with the above mentioned
project, the Buildi g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change f Sub -contractor notice.
CO1NTRA2� >z�PRINT NAM
al?37I
COUNTY CERTIFICAT.
State of Florida, County o
The foregoing instrument
20 O
who is personally known
as identification.
Signature of Notary Publil
Print Name of Notary Pub
Revised 1111612016
as signed before me this' L 1. day of
for has produced as
STAMP
,eYY p4,p Notary public State of Florida
° 4e A Thomasina Bowins
My Commission GG 201733
v� e� Expires 03/29/2022
,yF of
SUR-CON R ¢:NATURE (Qualifier)
PRINT NAME
/ 9,? yz
COUNTY CERTIFICATION/NUMBER p
State of Florida, County of - J�o L
The foregoing instrument was signed before me this rr day of
29, byL_CJJ
who is personally known )�_or has produced a
as identification.
Signature of Notary Public
STAMP
Print Name of Notary Public
.0'
Notary Public State of Florida
4e
.A Thomasina Bowins
" c
My Commission GG 201733
Expires 03/29/2022