Loading...
HomeMy WebLinkAboutSub-Contractor Agreement 11-9-21PERMIT # ISSUE DATE. COUNTY F I, _(1: R i I `D - A n PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT ,SUB -CONTRACTOR AGREEMENT ilttL�f �a;w lumh(nc. Sv�riy t have agreed to be (company Name/Indivvidual Name / W , the%Sub-contractor for �S�r►�' < <''� (Type of Trade (Primary Contractor) For the project located at Pc'10.e� C� ,� o Sn ,3 4.14) a — 60 `7 D a3 S -- Q2P U (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. L:,3 A'" ONTRACTOR SIGNATURE (Qualifier) -or i .k._ W . r1% r_t PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of1< j _ ae. The foregoing instrumentwas signed before me this 1 Srday of NiJVE?Yii Q� , 24011 by L-7 1' W i�Ol ✓) 1 who is personally known _or has produced a ftw- 6— kAam VeensQ— as identification. STAMP gnatu yNotary ubtic: Print Name of Notary Public I N"TE AN p Notary PcDUc - State of Florida Commission N GG 450E71 My Comm. Expires May 22. 2024 dad through Nation$ Notary As"". Revised 11/16/201 SUS -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME Zip yo 1 COUNTY CERTIFICATION NUMBER State of Florida, County of . , The foregoing instrument was signed before me this " 1+ day of >�OV• ,201,by lad -C\i who is personally known /or has pro e as Ide fip4*� Note+y public State of Florida Michelle Trotta My Commiseicn HH 1o16W E,c ms 031oJ a425 STAMP Signet m 1,0) t-- ri'rcA-y ct Print Name of Notary Public is PERMIT # I d I I )_ 0 3 a S ISSUE DATE PLANNING & DEVELOPMENT SERVICES . Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lori and Logan Winn have agreed to be (Company Name/Individual Name) / the �l �/��' for .1e Sub-contractorir t n / L CJ ;0 .� (Type of Trade) (Primary Contractor) For the project located at 5510 Palmetto Dr. Fort Pierce, FL 34982 (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. &,A� :-:!S— CONTRACTOR//S GNATURE (Qualifier) r ( lil/ t n n PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County The foregoing instrument was signed before me this �� day of , A r, , 2QL'&, by �-a V% who is personally known or has produced a as Identification. ^ STAMP Signature of Notary Public D .tea v\ yym, (ft. �v'k,A 3 Print Name of Notary Public oY ;fie, DEANNA GIVENS =�f'l Notary Public State of Florida �f o mm�sExpires Jian 28,52025 e" .W6/�,� Assn. Bonded through National Notary SUB -CONTRACTOR SIGNATURE (Qualifier) Ark. W,,an PRINT —NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 9" •1—U C �k The foregoing instrument was signed before me this DL— day of 20Q� by who is personally known or has produced a�' as identification. t� STAMP Signature of Notary Phbfic Print Name of Notary Public DEANNA GIVENS Notary Public • State of Florida 9 4� Commission 0 HH 086359 My Comm. Expires Jan 28, 2025 Bonded through National NotagiAssn.