HomeMy WebLinkAboutSub-Contractor AgreementZ
PERMIT # FISSUE7DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING .PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company N melIndividual Name)
the '�-z C�� Sub -contractor for e—
Z
(Type of Trade) (Primary Contractor)
For the project located at
p J �i� �(7qC(
(Project Street Address or Property Tax D #)
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.
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CONIVACtOR SIGNAT E (Q ifi
6
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of wt �i;�V P CO 0J
The foregoing instrument was signed before me this _t6 day of
.aka A— 201�-, by L t;>" \2 \11 Z ` Q `
who is personally known _or has produced a
as identification.
Vol
MA DE LA LUZ VELASCO
Signature of Notary Public SSION f�399
"i EXPIRES November 28, 2020
de 1a I fiZ e-ets e O
Print Name of Notary Public
CONTRACTOR SIGNATURE (Qualifier)
F-l�liyyY�l Gc !/ 511e
PRINT NAME
, -,- 2-9y�Z
COUNTY CERTIFICATION NUMBER
State State of Florida, County of•.513 t. cc `
The foregoing instrument was signed before me this ay of
20AI, by _-L% (ltj yeJ.sC,. S'_(W W
who is personally [mown ""or has produced a
as identification.
MADE LA LUZ VELASCO
'? MY COMMISSION 0 GG050399
N%W,Signature of Notary public NovemP1020
11 )
N_a
Print Name of Notary Public
Revised 11/16/2016
(Com any Name/Individual Name)
the v Vk-J, \z"`i_
(Type o Trade)
For the project located at
IUIs-CUINTRACTOR AGREEMENT
(Project Street Address or
have agreed to be
for �, i, r,--Q
Primary Contractor)
Tax ID
�C t
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 Subcontractor notice.
k \�
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1
The foregoing instrument was signed before me this _Z121lifay of
Cly20J, by (1'e0..
who is personally known L.-'or has produced a
as identification.
MADE LA LUZ VELASCO
ELM
Sl 1!
Signature of Notary Publi ' EXPIRN GOB$
ES November 28, 2020
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIG ATURE (Q lifter)
( i�— s.�o77, v
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of 1''lorlda, County of —a"uc-ic-
The foregoing instrument was signed before me this AP -day of
i y
20jI by _ L\ @ upkc'�
who is personally known �r has produced a
as identification.
Signature of Notary
lPublic
1"( C'L d , /"
Print Name of Notary Public
MADE LA LUZ VELASCO
ay-GOWSSION * GOQ (,'I UO
EXPIRES November 28, 2020
PERMIT#
j ISSUE
DATE -
PLANNING
& DEVE7,LOPMENT SERVICES
COUNTY Building & Code Compliance Division
BUILDING .PERMIT
SUB -CONTRACTOR AGREEMENT
�(2x5 poi,
the
(Company Name/Individaat Name
Sub -contractor for
(Type of rade)
For the project located at
(Project Street Address or Property Tax
have agreed to be
1,2 ),3
(Primary Contractor)
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 Change of Sub -contractor notice.
LCTOR SIGPi E Wu tier) ,
rKliV C NAME \
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof_22L\Ji ck- `,'
The foregoing instrument was signed before me this �j
day of
who is personally knownn r has produced a
as Identification.
°.' LA L4A�ASCO
Signature of Notary Public I MY COMMISSION i GG050399
r� j 4 '• EXPIRES November 28, 2020
r
Print Name of Notary Public
Revised 11/16/2016
-W LAULl I y
t:o FY CERTIFICATION NUiMBER
State of Florida, County of f .
The foregoing instrument was signed before me this 15 day of
01
who is personally known Jel_o'r has produced a
as Identification.
SABRINA L. BLACK.
Name of Notary
PgR1NA
c;•�..ISSION
e
cn .
#FF 195337
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