HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
t Building & Code Compliance Division
r BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e-,( _f 'J � M e X _ have agreed to be
(Company Nanie/Individual Nartie) V, I
the � r � 11 Sub -contractor for 9 o p \ S 1,, \1 -:2 ( �A_
(Type of Trade) ' (Primary Contra tor)
For the project located at 0 1 U U Y � '1\W 'Q-k—_
(Project Street Address or Property
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)
Tel If v~
PRINT NAMEt
a
COUNTY CERTIFICATION NUMBER
State of Florida, County of , Ll c"L L
The foregoing instrument was signed before me this 1 day of
J 20 �24y 1_ f ,/. UN tl 3 �
who is personally known Xlor has produced a~
as i�tion. STAMP
Signature of Notary Public
Print Name of Notary Public
/NMAMN
Notary Public State of Florida
�F Christine A. Marsh
+ My Commission HH 026766
y'4Y.-r ) Expires 08102/2024
Revised t 1/16/2016
SUB-CONTRACTO IG ATURE . ualirier)
y
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of U416 c
The foregoing instrument was signed before me this U day of
J M , 2o_Ay -T-ffrA wu
who is personally known �ior has produced a l/
as id77r, ation.
{j V
STAMP
Signature of Notary Public
Print Name of Notary Public
E
Public State of Florida
ne A. Marsh:,-::,r
mission HH 026766
08/02/2024
PERMIT# I I I ISSUE DATE
PLANNING�r*,a nTr� s��TA, r
-_�. , +ui"vi J.�A.Ul\ d
2it4i
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pa V 4 C i e e T2)c/K,9oLer"7' 1 Gt u% have agreed to be
(Company NE me/Individual Name)
the e l e tC 4L Sub -contractor for {oodl S' 6 y � Ieeq
(Type of Tra e) (Primary Cont ai ctor)�—
For the project loc ted aty V
Pau
(Project Street Address or Property Tax ID #)
It is understood thaf, t, 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.
P4
State of Florida, County o ✓LG .`
The foregoing instrument as signed before me this:L-1 day of
D ,2 ,by 1
who is personally known or has produced a _
as identification.
Signature of Notary Publi
Print Name of Notary Public
Revised 111 2016
STAMP
�,sn au'r4 Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
Expires 03/29/2022
9
SUB -CON R (.NATURE (Qualifier)
QoLer7- Pay U
PRINT NAME
9e7
COUNTY CERTIFICATION NUMBER
State of Florida, County of LZi ('a t
The foregoing instrument was signed before me this day of
-,2
who is personalty ttnownor has produced a
as identification.
Signature of Notary Public STAMP
Print Name of Notary Public
err.,'f.i
Notary Public State of Florida
A Thomasina Bowins
My Commission GG 20'1733
p rv�,
Expires 03/29/2022