HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICE. ,�S
Building & Code Compliance Divisio> RECEIVED
BUILDING PERMIT ' I FEB 2 2 2019
SUB -CONTRACTOR AGREEMENT
(Company Name Indiuidual:Na)
the e I e c�� Sub -contractor for
(Type of Trade)
For the project located at
ST. Lucie County, Permitting
(Primary Contractor)
ID #)
have agreed to be
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.
ONTRACTOR SIGNATURE (Qual ie�)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of� L't C )
im foregoing instrument was signed before me this cQ' day of
20M.by
who is personally known _or has produced a t— I p
as identification. t )L't C .
TAMP
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Print Name of Notary Public y
R"ice.
PRINT NAME
J"fF
COLINTY CERTIFICATION NUMBER
State of Florida, County of be ( P
The foregoing instrument was signed before me this day of
20 l by"/ we_
who is personally known or has produced a {''J _ bn o 4*.
as identification.
QW&44
Signature of Notary u lic
rn' �Yg
Print Name of Notary P lic
;Py"arc AUDREY B. HUMPHREY Y P
'r ' *- MY COMMISSION # FF 174772 •.% AUDREY B. HUMPHREY
"i EXPIRES: March 6, 2019 i MY COMMISSION # FF 174772
..o�: Notary 4 l,Q EXPIRES: March 6, 2019
Revised 11/16/2016 ';e • LQ' BondedThruNota Public Underwriters
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
(Company Nam hid
the
(Type of Trade)
For the project located at
Building & Code Compliance D
RECEIVE®___
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT FEB 2 2 2019
ST. Lucie County, Permitting
f have agreed to be
Sub -contractor for
(Primary Contractor)
TRO PIChL�/. _E_ CIA.
reet�Adiires•or _,Loper y 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.
Ar 3t1/
ik TRACTOR SIGNATURE (Qualifier)
t/nAIE1 C11EIU iJE
COUNTY CERTIFICATION CERTIFICATION NUMBER
State of Florida, County ofl/i.
The foregoing instrument was signed before me this A� day of
20_, by CR I
who is personally known _or has produced a j
as identification. D �' k i C
"141110
A VIP
Signature of Notary P 1'
Print Name of No ry P blic
Revised 11/16/2016
� �_o ._
ii� o a• ut' i
PRINT_NA
COUNTY CERTIFICATION NUMBER p
State of Florida, County of
The foregoing instrument was signed before me thisc:,4mjday of
20_0 by %i E
who is personally known or has produced a t D
as identification. L
4-1�(7 - AMPAW
Signature of Notary u lic
,,,� (k !�)� /i� • Q u rn
Print Name of Notary Public
;,2q.xPic, AUDREY B, HUMPHREY
:+ MY COMMISSION # FF 174772
I V - EXPIRES: March 6, 2019
Bonded Th. Notary Public Underwriters