HomeMy WebLinkAboutSub Contractor Agreement 4-19-21PERMIT # d 11 1 — 0,3 as' ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lori and Logan Winn
have agreed to be
(Comp y % e/IndiVidual Name)
the ,`I,e . I J Sub -contractor for t < < �.� • ,.,
(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.
, JAI-1
C
CONTRACTOR SIGNATURE (Qualifier)
Lo r i w i 1tlf\
PRINT NAME
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of a 1 State of Florida, County of
The foregoing instrument was signed before me ,this 1� day of The foregoing instrument was signed before me this day of
2(4� by 20_, by
who rs personally known or has produced a L who is personally known _or has produced a
as identification. as identification.
STAMP STAMP
'�SWmiture of Notary Publi Signature of Notary Public
LASHAMNA INGRAM-RAHMING
WCOMMISSION ; GG2750&)
EXPIRES: December 20, 2022
Bonded Thru Notary Public undem 'krs
Revised 11/16/2016
Print Name of Notary Public
PERMIT # az 1 k I ` O 3 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lori and Logan Winn
have agreed to be
( mpan Name/Individual Name) /
the . e- Sub -contractor for or t..� .e pc f� '
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
Ldw: W'%M
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
40
The foregoing instrument was sl ned before me this ` 1 day of
2@PJ byNQS, �'O'x1,
who is personally known ___.or has produced a f L
.as identification.
Q STAMP
ig�ture of Notary Public
Notary Public
Print Name of Notary Publi
?ia`!'"•°' ;; IASHM INAINGRO-RAHMING
COMMISSION $ GG 275060
BondedIRE : DecembefK 2022
Moffiry Public lladetunitors
Revised 11/16/2016
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
. 20---_, by
who is personally known or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP