HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
=p e- have agreed to be
(Company Name/Individual Name)
the j01, W tff Jai 0- 0 r-, Sub -contractor for _ S % 1wboa— 5
(Type of Trade) (Primary Contractor)
For the project located at
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.
f'gIVTRACTOR SIGNA THE (Qu er)
!l J_��A rA
PRINT NAME
,2T67
COUNTY CERTIFICATION NUMBER
State of Florida, County of
T-he foregoing instrument was signed before me this day of
he
`r .L . , 201L, by 1-0Ltt J 011 NYI A
who is personally known V or has produced a
as identification.
A �� STAMP
Signature of Notary Public
Notary Public State of Florida
William Henry Donovan Jr
My Commission HH 088457
aw Expires0411212025
Revised 11/16/2016
SUB- NTRACTOR SIGNATURE (Qualifier)
9/1 6�'i - �'tr1 � X
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5? Lu e/c
The foregoing instrument was signed before me this L day' of
CT4 a> , 2021, by �/1 RJ N6 fit /4 y
who is personally known4f�`or has produced a
as identification.
STAMP
m re of Notary Public 1
LJfLL/fits-PL b0NOV 4ri/
Print Name of Notary Public
i Notary Public State of FlHenry Donovan ]Jr
My Commission HH 088457
or w Expires 04/12/2026
K OCE
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) _
the L k G %� ! /� L, Sub -contractor for Tg a u S /yM 140L S
(Type of Trade) (Primary Contractor)
For the project located at _5 I
(Project
So 11,5-
Address or Property Tax ID #)
W
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.
TRACTOR SI ! T alifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofs 1 L tt C /C
The foregoing instrument was signed before me this day of
'17iA G 20� % by V 3a - fil A y
who is personally known Aff-r has produced a
as identification.
STAMP
Signature of Notary Public
6 1 `J_ t a r A 00,L)0 J1 Aal
Print Name of Notary Public
Notary Public State of Florida
William Henry Donovan Jr
i. My Commission HH 088457
Ia w Expires 04/12/2025
Revised 1
COUNTY CERTIFICATION NUMBER �y D
State of Florida, County of6+ - o' i C-
The foregoing instrument was
signed before me this ' day of
-lIy�-e- .olby Cyis yn/Da(t
who is personally known or has produced a
Public
of Notary Public
�►Y w Notary Public State of Florida
J. May
My co
� My Commission GG 906981
Expires 10/0312023
of V
STAMP