HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# ca 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
-� Building & Code Compliance Division RECEIVED
BUILDING PERMIT JA N 3 12022
SUB-CONTRACTOR AGREEMENT St.Lucie County
Permitting
10(?- Y- &h, z:/t1L— have agreed to be
(Company Name/Individual Name)
the FL Ll"(B!PJ Sub-contractor for toi-o A av-r � /�►�.
(Type of Trade) (Primary
Contractor) _
For the project located at 7� ,I ib O kN � 1—
(Project Street Address or Properly Tax ID#)
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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.
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CONTRACTOR SIGNATURE(Qualifier) SUB-CONY SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMB R
State of Florida,County of State of Florida,County of�
The foregoin/�rinstrument was signed before me this / day of - The foregoing instrument was signed before me this 1 day of
fVby 20 Z)by L�
who is personally known or has prod cc a who is personally known t� or has produced a
as identification. I as identification.
�\ \
STAMPA STAMP
Signature of Notary Public Sign•lure 6Not ry bli
Print Name of Notary Public Print Na eQ NiSTa,,u '�/1YRTELLE PERRALILT.
1� .:,,,:
;State of Florida-Not�rylPublic
RE EIVED *= Commission#GG 121257
`'
t a,•;: My Commission Expires
KAREN S. N ELSEN P � "°�` July 10, 2021
11
=o�PpYPe�6,State of Florida N tary Pub�l 3 ti���
=* *= Commission #G 207484
- 06/2iQ4§Commissio Expires ,
y "r'4rinitting
uiu June 12, 2 �f. Luci ount ,
PERMIT# o 1 „� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- J I Building & Code Compliance Division RECEIVED
s
—- — -—� —- BUILDING PERMIT JAN 31 2022
SUB-CONTRACTOR AGREEMENT
St.,Lucie County
Permitting
have agreed;to be
(Company Name/Indivt ual Name)
the I= L L Cra-{G'E L Sub-contractor for /I ZAP DLZrS y7' /���•
(Type of Trade) -(Primary Contractor)-
For the project located at �09 Lf �� rJ Eo
�L IL
(Project Street Address or Prop rty 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-COI< IGNATURE(Qualifier)
la s�i?ti cam-- �ra+ LL tn� ✓��,
PRINT NAME PRINT NAME
c(30�-
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMB
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this C day of
2@p,by ,201,/by /��7 L A c
who is personally known_or has produced a who is personally known /
�V or has produced a
as identification.', as identification.
MP STAMP
ASignature of Notary Public Signa u�-e Notary Publi
I
Print Name of Print Na the of Nota
KAREN S. NIELSEN �„""�� MYRTELLE tERRAULT.
State of Florida Notary Public ',.�varc�'�.
Commission # GG 207484 9`� State of Florida,Notary Public
�* *= Commission#,GG 121257
^* t P�
My Commission Expires My Comm Won Expires
June 12, 2022 .,��i, +F��°A�•
' � July 10,12021
Revised 11/16/2016
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