HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�� �i o �,'�• �J� ( �� have agreed to be
(company Name/Individual Name) „J
the ��eO� %co, Sub -contractor for Ra" ILt.\ ��e, �'S �,
(Type of Trade) (Primary Contractor)
For the project located at IyLl--e Coct_tv, p6t 4v-
oject Street Addr ss or Prop Tax ID )
��
It is understood that, if there is an change of status regarding our participation with the above mentioned
project, th;an-g Building Regulation Division of St. Lucie County will be advised pursuant to the
filing of ae of Sub-cont ctor notice.
CONTRACTOR SIGN ( SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME PRINT NAME
C6-L 1S'0r22z
COUNTY CERTIFICATION NUMBER
State of Florida, County of i
The foregoing instrument was signed before me this(L day of
JIVY 20"J by A � I �� V
who is p rsonally known r has produced a
as identification.
STAMP
Si ture of%Notary Public
,,,1n KI, �nd[�`0lq1 ey4
Print Name of Notary Public
Joseph M. Wolfgang
COMMISSION # GG298467
EXPIRES: February 5, 2023
-•j 11�1���'�� Bonded Thru Aaron Notary
Revised 11/16/2016
jE o cats 29
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed� before me this day of
//
2(? by L_e,(14LwZ/i C"4
who is personally known or has produced a
STAMP
C13 9-
3 C- .T
N
3
I --
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co any Name/Individual Name) n -
the Vi (A VLA tOl � Sub -contractor for I L'l ke. 1 (�
(Type of Trade) (Primary Contractor)
For the project located at Tv�e&rJ- 141 Gr v )t,
(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 Sub- ntractor notice.
CONTRACTOR SIGN (Qua ' ►er)
V jt?
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The, foregoing instrument was sign7arWVT1ttVb
eforree me this 2I day of
vv l (rL 2%, by
who is personally known�r has produced a
a identification. //
W
S' ture of otaryPublic
Print Name of Notary Public
V
�.C!%, 4
Joseph M. Woffgang
r
COMMISSIONHG29W
'�"P
EXPIRES: February 5, 2023
t,,•�``,,
Bonded Thru Aaron Notary
Revised 11/16/2016
STAMP
CFC- I �zYk4!
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 2 day of
Gt 207 , by
who is personally known �r has produced a
as identification.
Sig re of Nbtary Public
LOW
Print Name of Notary Public
COMMISSION S (iONW7
_=0 ' 1 EXPIRES: February 5, 2023
Bonded Thru Aaron Notary
STAMP