HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # J d�5 ISSUE DATE
PLANNING,& DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREXZvWNT O C T 2 6 2021
St. Lucie County
Permitting
,G} LL- �,< lla c have agreed to be
(Company Name/Individual Name)
the E'GEe-r19/ e/a L Sub -contractor for 1'l � i.jl or✓ cow %U2 �" LLG
(Type of Trade)
(Primary Contractor)
For the project located at /O/OZ- S: Z2 C'&-A 1J 2/0 - UN/ rt30 7/a s✓Sc.� 3�� e,�/ j"L 3 �1957
(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.
CON R SI . TITRE (Qualifier)
PRINT NAME
CGC/ssZ72ss
COUNTY CERTIFICATIO
N
NUMBER
State of Ilorida, County of
The foregoing instrument was signed
`` before me this as day of
CO�o12�( .2OLN by c7\XTb �uY1C�0
who is personally known _or has produced a �PLVL.
'tY Pie • ELIZABETH COLE
�Q_ Notary Public . State of Florida
Commission It GG 946577
'. .'oF .. .My Comm. Expires Jan 12, 2024
Bonded through National Notary Assn,
SU1�-00'i'(TMCToRS1er
PRINT
COUNTY CERTIFICATION ER
State of Florida, County
The foregoing instrument was signed before me this L day of �, o
who is personalty knownor has produced a
AUDREY B. HUMPHREY
*: *, MY COMMISSION It GG 300817
EXPIRES: March 6, 2023
Bonded Thru Notary Public Underwriters
PERMIT # • ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BIIILDING PFJOW
SUB -CONTRACTOR. AGREEMENT O C T 2 6 2021
St. Lucie County
Permitting
r4�J lllo e"F— have agreed to be
(Company Nameandividual Name)
the /GLUM$/A/G Sub -contractor forP/ZEC1.r10A1 G0,V2, 4er0X-X CLe-
(Type of Trade) (Primary Contractor)
For the project located at/D/QZ r DCfJA/ A,e awl- T 3D %9 , .TC�fFi✓ �E/a c!a FG 13 �/9S"3
. (Project Street Address or Property Tait 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 beadvised pursuant to the
filing of a Change of Sub -contractor notice.
CO SIG. (Qualifier)
f / /< ✓�' �y/✓ GD
PRINT NAME
C G if- Z S'S
COUNTY CEWMCATION NUMBER
State of Florida, County a a7tLuG1�lz qq
The foregoing instrument was signed before are this KC day of
20�� by St4'0 3uv-•("a
who is personally known or has produced a IFL Ol_
asidentification.
STAMP
Signature of Notary bliic
elizabc,,h clw_,:�
Print Name of Notary Public
�Ypv'• ELIZABETH COLE
Notary Public • State of Florida
Commission # GG 946577
My Comm. Expires Jan 12, 2024
Bonded through National Notary Assn,
Revised 11/16/2p16i
CF'C - r la'/
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before
_ 20_, by _
whoa personally /mown _ or
as identification.
Signature
a
of
STAMP
C. Kin o'.J I a clVV\ -I—
f--b rV,
RECEIVED
OCT 2 6 2021
FLORIDA INDIVIDUAL ACKNOWLEDGMENT 5t. LUCle County
Permitti—
F.S. 117.0503)
State of Florida
County of
<►��'�i'+ KIMBERLY M RAMPULLA
•`��n��rr���t Notary Public • State of Florida
Commission x HH 147894
My Comm. Expires Jul 1, 2025
Place Notary Seal Stamp Above
The foregoing instrument was acknowledged before
me by means of
�hy�ical Presence,
—OR—
❑ Online Notarization,
this r:,2 day of b c-�-b V- ova (, by
Date Month Year
(�b�r- -- rTb,,)-ef"'S
Name of Person Acknowledging
�,xyj�t ,/VL, c-,
Signature of Notary Public — State of Florida
Cki;mb-er'(1 -1 rK . �:KA"11Pj( ( -A
Name of Notary Typed, Printed or Stamped
❑ Personally known
Produced Identification
Type of Identification Produced r; j Q'r
(_ i e-efi\'�-p
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: u 1 ( a 1/l P--P-cw'-i �— S U ('--ZQ--)
Document Date: 1 d I az� f ana t Number of Pages;
Signer(s) Other Than Named Above:
02020 National Notary Association
v\4-rV�-C.,+or A
r22.✓Y1
M1304-11 (11/20)