HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e-,( f •q \W , X have agreed to be
(Company Na e/Indivldual Na.) V t
the v rYt Sub -contractor for 9 o 014 \-,.\Y 1
(Type of Trade) (Primary Contrabtor)
1
For the project located at
(Project Street A (Tress 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 SI TURE ( alifier)
PRINT NAM
av3�- t
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,LAC-( c
The foregoing instrument was signed before me this day of
20_, by w
who is personally known 4or has produced a
as id tifi ation.
✓' 7/�% STAMP
signature of Notary Public
Print Name of Notary Public
tP�►►r kqj�. Notary Public State of Florida
Christine A. Marsh
w My Commission HH 026766
Expnes 08/02/2024
Revised 11/16/2016
SUB-CONTRACTOR:SIG ATURE ualifier)
t t+rf-,I w"X
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this L/ day of
VI�C_ , 20_QJ, by Jhff�l -4-
who is personally known Yor has produced a
as ide ifleation.
4241;tIC-41 / /t"—, STAMP
Signature of Notary Public
Print Name of Notary Public
E
:NotaryPublic State of Florida
ne A. Marsh
mmission HH 026766
08/02/2024
.•s
I
the
PERMIT #
(Company N
C-LfCl
(Type of Tra(
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Co Mn11—_-, r_;_:,._�_
}�yU1V 11
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Tr te-Ij'oberr 10a va le
AI
For the project loc4ted at
Name)
have agreed to be
Sub -contractor for 10001 Q 6 � R e e
(Primary Con ctor)
(Project Street Address or Property Tax
4)
It is understood that, 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.
COUNTY CERTIFICAT
State of Florida, County o
The foregoing instrument
Dec , 20_�
who is personally known.
as identification.
Signature of Notary Publi
Print Name of Notary Pub
Revised 1111612016
r
SUB -CON R QOATURE (Qualifier)
�O b e r7- d�r:►- y tt
! PRINT NAME
-1'f__�J,Cl t
vas signed before methisA_ day of
by`T---
,Lor has produced a
STAMP
tisY 0% Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
Expires 03/29/2022
94? y3�'
COUNTY CERTIFICATION NTMERR
L
State of Florida, County of -� t
The foregoing instrument was signed before me this day of
202by A- Ch LCl )
who is personalty known �or hhs produced a
as identification.
Signature of NotaryPublic STAMP
Print Name of Notary Public
W Ice.
se
of Florida
=Bowins
.winsTG
201733Z