HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
5,6_4 (/ / L_' ES have agreed to be
(Company Name/Individual Name) _ A-01-:5
the L L': 6: �-. Sub -contractor for Jill(� S /e�1
(Type of Trade) (Primary Contractor)
For the project located at 13602 MA C 14 D A% AfF
(Project Street Address or Property Tax ID #) 3,7 S _, of — o v / 3— O 0 O �
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.
zz
}� C CTOR SIGNA no ' )
C�ro ¢! A)
PRINT NAME
2
COUNTY CERTIFICATION NUMBER
State of Florida, County of ! PI
The foregoing instrument was signed before me this day of
who is personally knownVo*'O'or has produced a
as identification.
• STAMP
Signature of Notary Pub
Print Name of Notary Public
�ge � Notary public State of Florida
William Henry Donovan Jr
My Commission HH 088457
Revised i l/16/2016 Noll Expires 04/12/2025
SUB- TRACTOR SIGNATURE (Qualifier)
("�ri_stat-i
PRINT NAME
EC1,3005#576
COUNTY CERTIFICATION N161MBER
State of Florida, County of"v L uc i2
The foregoing instrument was signed before me this day of
��`—, 2uP-1 )'
65
who is personally known or has produced a
Notary Publie State of Florida
Kaylin J. May
r My Commission GG 906961
Expires 10/03/2023
STAND
PERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
J_ Yn C u S,1-0/p 15 =pe, have agreed to be
(Company Name/Individual Name)
the PL.. U IV Sub -contractor for __Ffil 0' US % M c0pL :5
(Type of Trade) (Primary Contractor)
For the project located at I 'V &PA M A G /4 tE' I? P,
(Project Street Address or Property Tax ED #) -3;1) 5 �,16)�—
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.
jTORS G (QuaUfier)
PRINT NAME
C:2T6� y
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST". L u IF
The
�foregoing
� instrumentwas signed before me thiday off/
�C i C220& by1L �t '!T A/ I`Y?
who is personally know rtV or has produced a
as identification.
_/
STAMP
Signature of Notary Public
W 11-j-4x M Z2 a A a_ IA ,aJ
Print Name of Notary Public
Notary Public State of Florida
wlliam Henry Donovan Jr
NN,� l:,pi� a11212025 oee�s7
o'
Q SGIATL7REi Qualifier)
f/
PRINT NAME / %%
00 /
COUNTY CERTIFICATION NUMBER
State of Florida, County of 57- 4.L{C ; �
The foregoing instrument was si,gnneed' before me this "`� y of
who is personally known Kr has produced a
as identification.
'0� STAMP
Signature of Notary Publi��
Print Name of Notary Public
-------------
Notary Public State of Florida
William Henry Donovan Jr
rJ My Commission HH 088457
p Expires 04/12/2025