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HomeMy WebLinkAboutSub-Contractor Agreementr PERMIT# ISSUE DATE FLAMiNG & DEVELOP*MNP SEIVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 5 r� l./ e- / ecI r r c- 17- e- have agreed to be (Co pany Name/Individual Name) the E 1ec T r , z / Sub -contractor for,0e& e_ ZCI ^ e -7-C,c (Type of Trade) rr -- -(Primary.. Contractor) . For the project located at (Froject 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 willbe advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) COUNTY CERTIFICATION NUMBER State of Florida, County of7✓ The foregoing instrument was s ign ed before me thisN%_day of who is personally known —y—or has produced a as identification. r / STAMP Signature of Notary Public Print Name of Notary Public O %WTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of_� �•i'Z The foregoing instrument was signed before me this, d y of J Ott : za� by �Jd2�Co who is personally known-V--or has produced a _ as identification. STAMP Signature ofN�ryPuh�lie��� Y. Print Name of Notary Public •cy Nota SOW LAURA R. W136tDGE Kern Co • < My. Commisslai► F F s7S543 :.: mmissiop # GG Q2ZDT6 Revised 11116/2016 �o� Explres 06I2612020 ±•�orJe► ?,, s Oatober'21; 202D. ThrilTiayFain�y►�saDD�385+70f9 . ISSUE DATE OP T'SIRRVICr's D RVEL EN V Codd.'p6hio ace DWINoik S1 -CON'�Mlft AdAktUMT CQm'fort,.Qo.ptro1 of St. 'Lucie "Countyc.. have Weed- tole (Campiny NsdneftdividW Mine) the, H.V'' A Q Suitc&dftct6r-fbr Wymme- D.e.,veig-omesit 'Cori). (Type of trade) For the project Ideated at It is iin&rstb6d.thaJt, if there is any change -of 90= regarding our paMpation'with the above mantibned. poject,- the Building and Code RegWation Divisibn of St. Lucie Comq will be advised pmismntw the, filing of a Changp of Sub-coftactor-notice. CQNTRACTQR SIGNATURE (0fififfer). -'Na.,tthew Lil.e Wy:n.ne PRINTNAME - COUNTY CERTMCATZON WMEIC The fonping idstragiiatwss shmeatefdri we thb9�Oay Of --CL who is personally 'mown ✓rbs produced a, - as idewleadon. Q�g Z STAW ,Bonded DOROTHYANN�AKIN MYCOMM19SION#GO030146 EXPIRES: October2:.2020.. ftndedlbmr cU�de] Revis$d 11,1­16 COUNTY CrRT_WMT_1_O1VNUMBER State of makitb. County f-L 0 The foregaimuiushiimmtwag shiedbeforLme this\_k &y9f by'�CkA I - who Wpirmnally known �r 11= producels as idimitirmflon, _?y STAH� Print Naina of Not"y FOR DOROTHYANN BASKIN mYC6MM1.SsIONEGG 030145 1EXPIRES: October 2,2020 L66-A 2200/Z000d tLO-i 999LUSUL djoo Suipj!ng euuAM -WONA qL:2;L 91,j-80-36 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division p ompany Name/Individual Name) the l 11M VD I on CA (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be for D (PrimAry Contractor) (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) mauzb eW NAME --�' COUNTY CERTIFICATION NUMBER State of Florida, County of Sir • Gi.� The foregoing instrument was signed before �me thhis \ day of who is personally known or has produced a as identification. Signature of Not& Public _bOA- s—i "I, J Na j di-SKle") Print Name of Notary Public o<r 1111,E 1:?:a��%•,,- DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October 2, 2020 ,��iFOF.F�Op� Bonded?hru,Notary Public U*Witeis Rev SUB-C CTOR SIG ATURE' (Qualifier) ob�lr-� L.0 d l Lt M PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of .�C..l 4e, The foregoing instrument was signed beforejme this -� dalIy of J 20 b D© l _� l Lualu who is personally known or has produced a as identification. )hfASTAMP ki .- STAMP Signature of Notary Publi �.�N.t..7 r riot Name of ublic oW.u✓Wwrnayr..;;��;n:5w:,�:nN:. •'h.,=��\\:.w r�1...'-'n •M �{� e. 1. "e MY COMMISSION 0 EE854297 r. EXPIRES January 08, 2017 1i,1CF�'flt\�� Y (407) 398-0153 FloridallotaryService=m �';1ti.i:+'rn...�s. s. Y� c, r�r>1+�vtZFtv�ti�t�i a sing "m SU- WC tb tradb b a . . .. ...... i. M4 1 lihe, abtverinntin 'd. 91"1" Dlyi.e. f*g ON..'Chang aor Pant NAft-dfllZot9ry,ftW DOROTHY ANN BASKIN MY COM MISSION4 GG 030145 Boa EXPIRES: October2,2020 W Bonded:Thru Rptery.pubVq Undmjbm np C.O.UN.TT'. M-UM- C%.T.l0N?..lW 'MEW' u ca AA-11 b.efo A�Jiwa. Ifile Oftdkedl as u4watioll� " GLO i.T. % j •DOROTHYANN BASKIN 11 0 N 'J My COMMISSION # GG 0310145 0 EXPIRES: October 2,2020 Sc)ndLd..ThtuNotery.pubiio:underwn . jem