HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
the
of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDING PERMIT
W-13-CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for -A.(' �t cj,e - V ae11soapez
(Primary Fontractor)
YQLAFor the project located at C) 57�— t Ha a - VO S--d>
(Project Street Address or Property T #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the wilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
of a Change of Sub -contractor notice.
(Qualifier)
PRINT NAME
COYNTY CERTIFICATIO`N\ r ,ER
State of Florida, County
The foregoing instrument was signed before me this day of
t�20_Xby�W1 lsor'p"z'
who is personally lmow�gr has produced a
PAY 0'6 Notary Public State of Florida
ki` Danyel Jones
Rav k' �'llt y Commission GG 352016
4o«o@ Expires 07/04/2023
,-R) \0026 9 n -� (
COUNTY CERTIFICATION NUMEBER
State of Florida, County 01� N .,,— C V
The foregoing instrument was signed before me thist� day of
-o , 2(Qdby
who is personally ]mown or has produced a
a
llotary Public State of FloridaDanyelJonesMy Commission GG352016Expires 07/04/2023
STAMP
0
__7PERMIT # :TISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDING PERMIT
SUB-CQNTRACTQR AGREEMENT
Sub -contractor for
ect Street'Address or
have agreed to be
L
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.
(Qualifier)
COUNTY C TIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this day of
\� +2'aAby V r
who is personally Imo— has produced a
►cation.
STAMP
Signature o o
ame of N4fa1f%fiuc
vvr P Notary Public State of Florida
�' Danyel Jones
< My Commission GG 352016
�.? or flo�F° Expues 071p412023
Ravi
SIGNATURE (Qualifier)
1
� i�:r373�y a�►uiT: ,
State of Florida, County _
The foregoing instrument was signed before me thi :1 day of
20,%by
who is personally known'�_r has produced a
ash identification.
of Notary Public
o�pr P&,% Notary Public State of Florida
? Danyel Jones
y My Commission GG 352016
'?aM1 Expires07/04/2023
STAMP
.eS