HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
4-a- U/dccVir_ s G have agreed to be
(Company Name/Individual Name)
the Ciel 4�w4z,'�- Sub -contractor for
(Type of Trade) ( imary Contractor)
For the project located at 5 - 31 f?
(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.
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0� , 1. 4101
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COUNTY CERTIFICATION NUMEBEW
State of Florida, County e..,igne6d
The foregoing instrumenbefore =ethis day of
20)1, by Gt
is personally known orha roduced a
ac irlrntificatinn.
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4
he foregoing instrument
�wyas signed before me this �� do. of
Z20 �/, by
who is personally known or has oduced a,
61
Was identification.
�)J / Jj A '
STAMP MP _�K_ V, &",#T STA
Signature of Not Pu he
Print Name of Not�blic
o4�xPv,B�-, AUDREYB.HUMPHREY
*: MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters E
Revised 11/16/2016
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
;; pF°�' Bonded Thru Notary Public Underwriters
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
3 k �
'lbEtr Ie. C— have agreed to be
(Company N e/Individual Name)
the Electricial ' • I Sub -contractor for Owner/Builder k(21 l b�
(Type of Trade) (Primary Contractor)
For the project located at 116 Harris Street, Fort Pierce, Florida
(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)
Kelly McElwee
PRINT NAME
Owner/Builder
COUNTY CERTIFICATION NUMBER.
State of Florida, County of _% W eu, h
The for
jegoing instrument was signed before methip� day of
20 '1 by 10 M C, WIPJ&
who is personally known _or has produced a
as id ntification.
STAMP
Signature of Notary Public
�160 r I ktl- I >/4 as
Print Name of Notary Public
a
joW te of Florida
F 966029
20
Revised 11/16/2
PRINT NAME
91�5� c NO2S51,
COUNTY CERTIFICATION NUMB
m
State of Florida, County of i ,n
The foregoing instrument was signed before me thisa day of
20\'\ by t 1_
wh is �iionallyor has produced a
as ide tification.
CA-A� STAMP
r ature of Notary Public
Print Name of Notary Public
=kl")pCl�,e
ate of Flor.
FF 9420