HomeMy WebLinkAboutSUBSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Nanie/Individua( Na e) �
the 2W IY
(Type of Trade)
For the project located at
e_Y
have agreed to be
Sub -contractor for 90 5 k-,- \ :22Y r LY
(Primary Contra tor)
� I mmhr y \ Yl
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.
CONTRACTORS[
TURE ( alifier)
T�'f r � l \N
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4A. L\C.t
The foregoing instrument was signed before me this day of
2o�by
who is personally known r has produced a
as ide tiff ation.
�^ STAMP
Signature of Notary Public
Print Name of Notary Public
�v091 P&� Notary PublIC State of Florida
Christine A. Marsh
My Commission HH 026766
or wo' Exgres 08/02/2024
Revised 1 1 / 16/2016
SUB-CONTRACT0 IG ATURE ualifier)
PRINT NAME
3� l
COUNTY CERTIFICATION NUMBER
State of Florida, County of ' L,•)6 (!,
The foregoing instrument was signed before me this y9 day of
' 20Z by "af U
who is personally known r has produced a
as ide i cation. ,
1 �C�1(4
✓ ✓�� STAMP
Signature of Notary Public
Print Name of Notary Public
=Fxpircs
�lr State of Flonday . Marshon HH 026766/2024
the
PERMIT #
(Company Ni
— z�el
(Type of Trac
For the project
It is understood th
project, the Buildi
filing of a Change
J C- 22 y (,y
PRINT NAKU
aN3-?1
COUNTY CERTIFICAT
State of Florida, County c
The foregoing instrument
bf-c— , 20. A
who is personally known
as identification.
Signature of Notary.publir
Print Name of Notarypub
ISSUE DATE
,CLL'AN11f lT
_--+. a • ,Lv.i i.riLA\ i 1.7L' A`� V li..i -i
BUILDING )PERMIT
SUB -CONTRACTOR AGREEMENT
E(z 7- )c149ber7'
e/Individual Name)
t0 q L
d at
have agreed to be
Sub -contractor for PDd ) S' 6 ? e '_
(Primary Con actor)
(Project Street Address or Property Tax ID #)
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
as signed before me this -a —day of
by
for has produced a
STAMP
SUB -CON R GrNATiIRE u
(Q alificr)
_ 0 e r-r-
PRINT NAME
987Z
COUNTY CERT1b ICATION NUMBER
State of Florida, County of 2 U,1C le
The foregoing instrument was signed before me this day of
DCL 20_qA by ) (t >
who is personally known )�or has produced a v�
as identification.
„ am_ 7
Stgnature of Notary public � J./ ' STAMP
Print Name of Notary Public
✓�y .4yY °r�, Notary Puhlic State of Florida
Revised 1111612016 +sY az Notary Public State of Florida - �y
�o� �i� ry . .A ThoL03/29/2022
ina Bowins
yre� A Thomasina Bowins r:�"
. �1x My Commission GG 201733 :• �; • g My Cosion GG 201733
4f, Expires 03129/2022 r or Expire