HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
C Y .r .q � W I / have agreed to be
(Company Nanje/Individual Nall)e) V L
the v m J Sub -contractor for 9 p 5 \r .�j_'
(Type of Trade) U'�
(Primary Contra •tor)
For the project located at Jul UVT(M ,� FA
(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.
t
V % ',) w V . /.
CONTRACTOR SIC VNWTURE (tafralifier)
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of�l \)6 (?'
The foregoing instrument was signed before me this lb day of
e , 20a1, by�—
who is personally known Y--- or has produced a
as id tiG ation.
slit STAMP
Signature of Notary Publii:
Print Name of Notary Public
R:gi
State of Florida
. Marsh
ion HH 026765
/2024Revised 11/1
SUB-CONTRACTO IG ATURE ualifter)
ZYf'!IMiX.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 9 L06 e.
The foregoing instrument was signed before m, e�th�is\) � day of
2091, by
who is personally known —Y--r has produced a
as ide i cation.
STAMP
Signature of Notary Public
Print Name of Notary Public
E�,,
Notary Public State of Florid �Christine A. MarshMy Commission HH 026766Expoes08/02Q024
..s
21
the
PERMIT #
(Company N
C-�EC
(Type of Tra(
ISSUE DATE
PLANNING
BUILDING PERMIT
SUB-CONTRACI`OR AGREEMENT
e T_' c_1d Ober -t 70ayu k
tCAL
For the project locited at
Name)
have agreed to be
Sub -contractor for /00d i �Q 6 2 e
Yg j N
(Primary Con actor)
ect Street Address or Property Tax ID #)
It is understood th , if there is any change of status regarding our participation with the above mentioned
project, the Buildir g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change Df Sub -contractor notice.
0,
JC21zY wl
PRINT NANLV
COUNTY CERTIFICATI TN NUMBER
State of Florida, County o
The foregoing instrument vas signed before me this' day of
i 2
who is personally known or has produced a
as identification.
of Notary
STAMP
Print Name of Notary Pub
is
Revised 11/162016
?, ems, °ems Notary Public State of Florida
A Thomasina Bowins
{, < My Commission GG 20t733
oy
4, '%1 Expires 03/29/2022
SUB -CON R GNNATURE (Qualifier)
Robei-T �aylik
PRINT NAME
i 9 4? y�
COUNTY CERT a nuuly 1VUMBER
State of Florida, County of��
The foregoing instrument was signed before me this day off
20�. by u 1`�
who is personally known -)Cor has produced a
as identification.
Signature oCNotary Publtch—' J STAMP
Print Name of Notary Public
fsT 'ua�
Notary Public State of Florida
A Thomasina Bowins
'
M Commission GG 201733
y
y�or
Expires 03/29/2022
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