HomeMy WebLinkAboutSUB-CONTRACTOR AGRREMENTPERMIT # rJ I Z D s(� z ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
P10 M b)I1
have agreed to be
(Company Name/Individual Name)
the Qy,M IO i ✓1 C, Sub -contractor for RW OVA&t, i 061 Il o (0 cf a •5"
(Type of Trade n (Primary Contractor)
For the project located at ilo S• DCeJ+n Or I Leo ,(mooh CL- 3q';5 7 003
(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)
ltwrjr Pr-WSatrl
PRINT NAME
G-&G 0-02-(o3H
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1AX e
The foregoing Instrument was si/gJned/before m' e! this 7-1 day of
ISAInJT20Z bbyy 1w�Ou��C(INSoriC�
who is personally known V or has produced a
as identification.
S!gnafure of Notary tublic
1&aleJ iva e(o,Jfi4S
Print Name of Notary Public
dL-
<�r � RONALD JAMES NARNMAS
a:P1 Notary Public • State of Florida
Commission # HH 0284t2
` ,.•' My Comm. Expires Aug 5, 2024
Bonded through National Notary Assn,
Revised 11/16/
SIGNATURE
PRINT NAME
1C< /C/ � /-) �50
COUNTY CERTIFICATION NUMBER
State of Florida, County of yAL uC/ e-
The foregoing instrument was signed before me this Z1 day of
S t4N tJgh�, 20�, by WI f GL1 dtiI �i L�•fC[�
who is personally known +' or.has produced a
as identification.
STAMP
'Signature of N tary Public
1?or r4/C4" i(4A6 ✓M S
Print Name of Notary Public
<A_ °�' ; RONALD JAMES NARBUTAS
t?4 • Notary
. V Public •State of Florida
Commission # HH 028442
'?' My Comm. Expires Aug 5. 2024
Bonded through National Notary Assn,
STAMP
PLANNING & DEVELOPMENT, SERVICES
Building & Code Compliance Division
p 11. O. R f -D A
V_
the
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 1 Tee)lkia to r/je
(Primary,Contractor)
S. 6CeA4 n or 3 evi S&1 3y 95
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
filin of a Change of Sub -contractor notice.
n
CONTRACTOR SIGNATURE,(Qualliier)
JCd At'JV-T_ yeLY11 out
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this T f_ day of
-)mft yPvf�j 20_??by 2o6erLtkMIS&I !awho Is personally known vbyor has produced a
as Identification.
Signature of Notary Public
Aoa/,/ Ayg,,b 4os
Print Name of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
P�iNT;NA,ME
COUNTY,CER'l CATION NUMBER ,`
State of Florida, County of 'F Loci it
The foregoing instrument was signed before me this ZI day of
_�tv4ry .20,? byy A-PAI-1 RJW-e-
who ls•personally known ror has produced a
as identitleadon.
STAMP STAMP
AlglTqture. of Notary Public
�o vT!,a (cam N�✓-� ��4 S'
Brint_Name of Notary. Public
°i °�"•
RONALD JAMES NARBUTAS
i,
Notary Public -State of Florida
Commission K HH 02SA42
MY Comm. Expires Aug 5, 2024
Revised 11/16/2016 Bonded through National Notary Assn.
RONALDJAMESNARBUTAS.y
.Notary
0.,
of Florida
pubBc Stateon 25441
MYCommnmlSExptresAuHH
2024
Borded through National
Nola ry Assn.