HomeMy WebLinkAboutSub-Contractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
w. BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
R�)_KA)Iv-i-q Zj P_/q1J have agreed to be
�Company Name/individual N"�)
the U tj Sub-contractor for
'(Type of Trade) (Primary Contractor)
For the project located at_13'17L) )k6baA6N�1- 6W-D Sb 26LnCzt�td��`-s 31,foqb
(Project Street Address or Properly 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.
7
4TRACTOR Z_SIG NXTURF(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
5��
PRINT NAME PRINT NAME
— C20 L� z
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Z54- W0-c- State of Florida,County of fflae:-h
The foregoing Instrument was aimedbefore me this?,V dy.,f The foregoing instrument was signed before me this 7 day of
c' 20R'by f)2kx _aOWON 202a
by Jag)/ICJ
who Is personally known___pr has produced a who is personally known -,/ or has produced a
WR"Cab"n, as identification.
6 Notary Public STAMP Signature I of I f Grp STAMP
A)
Print Name of Notary Public Print Na
m"0
ON 9Nowrl$64big stew of Honday 2 2,
Nor�whtiejl+�eltirt GO 029907
011 022348
Revised 11116/2016
STATE
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
n
Building & Code Compliance Division
w..:...r,..,...:,.. ..... .. ..:..UNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AAr""14_1� 4 m'j have agreed to be
(Company Name/Individualgame) a `l
the 6- e,.fi l �" l Sub-contractor for li d
(Type of Trade) `` (Primary Contractor)
For the project located at 15 '1'7 9 !4 W l LL>J) n L , ?�
(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.
ON CTOR SIGNATURE(Qualifier) S RMNATURE(Qualifier)
TzU
PRINT NAME PRINT NAME
6 f5 G J 2S a o - - 1,306,�--3,7, C -
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of N kt State of Florida,County of Sh i4f IL Vim'e
The foregoing instrument was signed before me this Z day of The foregoing instrument was signed before me this ZP day of
202V by
PO Uc� 13"'y5 SA►VAAAx ,202Lby St3w�yP�/ �i9��5
who is personally ianow-,�(_ or has produced a who is personally Imown X- or has produced a
as id!ntillcation. a37F;�
n.
/-. j STAMP �`� STAMP
lure of Notary Public Sloture of Notary Public
R - Q. & -L-16P S N &/L le 1)"
Print Name of Notary Public Print Name of Notary Public
Notary Public State of Fbrida
Mark Q GpIder5 ,y puelic Sate of Florida
rs r My Commission�,G 287839
aw Exp; f`:x var2112023 . 1ff� Mark D Geiders
My Commission GG 287832
Expires 0)41?92023
Revised 11/I6/2016 —' ap*