HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
4
COtzNTY
i L O �R it D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
KM-e_vs m o 011(. 4 me's have agreed to be
(Comp nyName/Individual Name) aK( coy 1
the Sub -contractor for l� V `
(T e of Trade) (Primary Contractor)
For the project located at 4t l3 n Ulsi . 4 l FL _ ` 111"l
(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.
IZA
CONTRACyk SIGNATURE Qualifier)
PRINTCNAW V��
COUNTY CERTIFICATION NUMBER
State of Florida, County of `
The foregoing instrument jwas signed before me this day of
QL'Itle 20tW .b
who is personally known ` or has produced a
as d nfifica[ion. e
A
D� 1k _ STAMP
Sign tutlAfN-otaryPublic
Print Na o u
:. HANNA INGRgIISSICy.Rq}IMING
FoPV : FIREMyCOMS# GG 275050
tended'PE December
N�ryPut• M1;adcnnilers
Revised 11/16/2016
S17ONTRACT0R SIGNATURE (Qualifier)
/ A-� r(% ck rp? i �cr
PRINT NAME
4t/al� 40i
COUNTY CERTIFICATION NUMBER
State of Florida, County of �T �, ✓ Gt
The foregoing instrument was signed before me this k -7 day of
, 202, b Pu1 IC.dC... RI LL-e-')
who is personally knolni or has produced a
as identification. /
Signature of Notary Public
.A( Md I l�
An Name of Notary Public
STAMP
:ot►»;P �v�
ROBERT MOLLET
Commission 4 GG 979200
p a�
Expires June 3, 2024
4;oF Ir
Bonded Tku Budget Notary Swsbw
oUNTY
if IL O it d 'D A,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Nam /Individual Name)
the (r ((_ (n Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be
(Primary Contractor)
1 l�S 1 -FP
(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.
CONtRAC R SIb TURF (Qualifier)
r
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofM. nn
The foregoing instrumennt��was signed before me thikl)L`day of
Dw 2t, by
who is personally kn� or has produced a
as identification.
Ienre of Notary Public ,
Print Name of Notary PtMc
SIGN
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoinnginstrument was signed before me this l ,q day of
20_1by �� T
who is personally knoor has produced a
as identification.
STAMP STAMP
Signature of Notary Public
Print Name of Notary Public
C
LASHAHNAINGRAM•RAHMING
MY COMMISSION # 6G 273;
Revised l l/16/ EXPIRES. December
OFFS �P.� Bonded Thru NoWry P+:= _ '1.: I
�ot►R;,P,�a�
ROBERT MOLLET
* *
Commission # GG 979200
g o�
'�oi
Expires;ltlne 3; 2024 .
tti°per
Banded ihu Bud��t Ndery Swrloas