HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUF DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
E E /C 0V Ie1/f%G O'IIT� have agreed to be
(Company Name/individual Name)
the C Sub -contractor for iWIFY
(Type of Trade) (primary Contractor)
For the project located at /a 76 4 /2A/ /W117Ef2 eT - &03.0029'
(Projeit Street Address or Property Tax ] D #)
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.
CONT TOR IGNATt1RE (Qualifier)
&I FIV?
PR1N NAME
COUNTI CERTIFICATION NI MBEIJ
State of Florida. Counh of 1 I n
Ni
The foregoing instrument was signed before me this 3 da} of
« Ito is personalf) kno« n or has produced a
;ts identification.
lz:
Signa re o tarp Public
Ldyi'
Print Name of Notary Public
- Z��Z� 7 - I
St! B-CO 'RACTOR IG. ATUR ( ualifier)
All
PRINT NAME r
COUNTI' CERTIFICATION NUMBER
State of Florida, Counts of /4 Ge M! OQ
The foregoing instrument Aas signed before me this das of
. ,tld'c e/ G .z
%A ho is personallyknoll n or has produced a
:IS identification.
"I .- NI P }
tiianature of otarr Puhlic
/' • Q V
Print Name of Notary Public
ka'
Noes y Puv4ic Stata of Florida
Z r Lail A
r a uy Cotrrrnc lion GG 2801uit3
E:,pav3 1112r 022 f°
Revised 11.115r2016
Alwk� Ya'.ory PU011c Sceta of FEoride
y�NLori A. MOXII.y
W.y t.:smrninaion GG 280148
�r,.,yFwg E, IrC3 11,12012J22 a
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S'FAMP
-PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- - Building & Code Compliance Division
J?
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name"Individual NAe)
the PL. I/Me!7Ae, Sub -contractor for /�C'X �r9yFt!s 9, Pa/ems
(Type of Trade) (Primary Contractor)
For the project located at eA e- C T - �jr • ,� • z �• a0D •a
(Project Street Address or Property Tax I q)
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.
CO. T ACl"O SIGNATURE (Qualifier)
AIgn F161-ml��
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of K%7/%
r
The foregoing instrument was signed before me this � day of
20-1-% by Ft Gm A r]
who is personally known r or has produced a
as idenlificalion.
/Ze 5 STAVTP
5igna re of Notary Public
Print Name of Votary Public
=o TrL,
d% iVre'ary Public eta z of F}o da
Lori A Mox,py
¢, P iNy Commiasi0n GG 290146
Revised 1111 ?i,6�;'sd� &:pire311/2312022 $
'a�'9r�•►a�'r/�l�''td`!1/4i'4i'9�/'y'�'Ytir'4�' r
SUB-C CTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of & W_ r/%% 7
The fo oing instrument was signed before me this ✓ day of
2Il�,y
who is personally known V or has produced a
as identification.
TAMP
Sig natur-e-vP'TotVy Public
Uri � �X4e
Print Name of Notary Public
a��
ry�r
�j
,yp;ary Pudic 5taia of Fiords
Lori A MoxiHy
* P
My C amm:s,,ion GG 2E0148
E,;pires'I112012(122
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