HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
r I Building & Code Compliance Division f ct� +^
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BUILDING PERMIT
SUB-CONTRACTOk AGREEMENT JUL
St. Lucie (*oL:nt.,,
(tc_ ___ _ __ _ _ _ __ have agreed to be
Company Name/Individual Name) -
thet��'Lt h/9� Sub -contractor for __ -
(Type of Trade) (Prim ry Contractor)
For the project located at l 1zi A04,6")
(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.
0 /",-1
CONTRACTO# SIGNATURE (Qualifier)
PRINT NAME PRI IIA IE
COUNTY CERTIFICATION NUMBER COUNT CATION NIi�IBER
State of Florida, County of1!�l_
The foregoing instrument was signed before me this _a day of
U 1 , 201� by
who is pe onnlly i5 •n _or has produced n - -- -
as
.4%4
Signature
Print Name of Notary Public
State of Florida, County of 42
The foregoing instrument sign before me this ��day of
V� ,20) /,
who is personally k _or has produced a'
as tdentiticano
STAMP .,v
Signature of N ry Pubtie
Print Name of Notary Public
�..
JAMES P,OUAN
AMES ROUT% 6827 -''1�' My COMMISSION 0 GG 0088'. }
PAY COM_k� Swem 004 0862 EXPIRES: Novamber4, 20:''
EKFlRE .. o b,! 'klnd0rot° Sobdad Thru Notary Public Undo; ,.
goadad �nru No>aM�,,:.,
STAMP
the
(Type
J
Name/Individual Name)
For the project located at
(Project
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
dV8. 7 "Vii,
St, Lucie COL!11t�, FL
have agreed to be
(PrlmadyContractor)
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 RACr SIGNATURE (Qualifier)
I!" /Welt
PRINT NAME
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of_ _$r L V-6LZ
The foregoing instrument was signed before me this day of
�^01" , 20Dby
SUB-00,11TRACT R SIGNATURE (Qualifier)
✓4.1,t �l S
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S1 L k,
The foregoing instrument was signed before we this 1 day of
y ef" , 20L7, by
who is personall)known _or has produced a who is
as
v�l
Public
Print Name of Notary Public
as eUenfifi 'on.
STAMP as
Signature of otary P
_or bag produced a
Print Name of Notary Public
?�s1''PY'�°I;•.' JALve46'('2'2
ti�A
qY ➢'•4,
I:iY COMMI08627 JI 4h,,.•
=N5 r__J ? JAMES ROUAN
o; EXPIRES;00MYCOMMISSION # GG 008827
''•;p,' ;Sp'' Bonded Thru Nodrwriters EXPIRES Nowember4, 2020
Revi %Or;�,4R��'� Bonded Thru Notary Public Underwriters
STAMP