HomeMy WebLinkAboutSubcontractorPERMIT # ISSUE DATE
COUNTY
F
L
C R
1 D A —446
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) ,,,��
the � � �' � r� a ; / Sub -contractor for X �' f%a,� j/�� .� ul l/-i n
(Type of Trade) (Primary Contractor) n
For the project located at ��� '� _S' 01 J�t1 �� + 3 y q: /
(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.
CO, ACTOR SIGNATURE (Qualifier)
t = C
S
PRINT NAME
C— CERTIFICATION NUMBER
State of Florida, County of (.
The foregoing instrument was signed before me this day of
I i r d , 20" by
who is personally�-known or has produced a
as identification.
lY, A i/t) ��✓ STAMP
Signature of of ry Public\
`jam
Print Name o
Notary Public State of Florida
z: Ginger Williams
o` My Commission GG 218930
r fov nor Expires 05/16/2022
Revised I1/16/2016
SUB-CONTRACTO IGNAT (Qualifier)
PRINT NAME
13-v O,q
COUNTY CERTIFICATION NUMBER
State of Florida, County of J4_6
The foregoing instrument was signed before me' this 4 day of
20)—b � ' 2��' ' .JM / i 1 L
who is personal) own or has produced a
as identification.
STAMP
SignatttiIre of Notar ub 'c
Print Name of tart' Public
_ 0 05vi� Notary Public State of Florida
Ginger Williams
F� My Commission GG 218930
;a randy Expires05/16/2022
PERMIT # ISSUE. DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUR-CONTRACTOR. AGREEM -ENT
� I
Q'!' -Gas . ! � �7_t_Ce- - have agreed to be
ompany, IQanrc/Ind�idua[ Nat��c) J /
i LC r,
le 1� I _ Buis-eoritrctcse for ,�Yt( I ►
tain
(Type of Trade) (primary Contractor)
4 L
For the project locatet� �t . )_/V _C (' ear)
Street Address or property Tait W
It is understood that; if there is any change of status regarding our participation with the above mentioned
projects the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub=contractor notice,.
CGNITR� j R SEGNUKE; ((xisfifrer) S 0 RA 0 SIGNATURE (Qualifier)
PRINT IVAMF - PRI\`T' NA ME- - -- --
C6 c, i z&n 6 33
COUNTY CERTIFICATION ti'EUMBER,
State of Florida; County of nj1 (,�j�f �
The forclZoing irctroment.va-q Aped hefore me thix -� day of
who if persanalty !crown - t! _ or haa produced a --- _- -
affi identification,
f ,
StanfitureofNot Public
's
7 ! [_l' S
Print i' Me 10o ary Public
000 e[q J Notary Public State of Florida
; Ginger Williams
�$ < My Commission GG 2i 8930
-•
Explfes 05/78/2022
kovimd 11/16/2016
COUNTY TY C"FRTTE ICA T EON'' NUMBER
R --_—�
State of vlarida� County of -*
Tile before me thia day of
who ifi paraonally known V or hoe ptodreed a_-__--
ae iddafificati
STAMP
sivat�re fart' tiC'-
[girt Name of 1\10ary Public
L 3 f�otary F ubliC St
cit lror da
Javier Santana
e
a My Commission GG 2387na
f 3((3ir4iS 0 /i W2022
STAMP