HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divi§io n
BUILDING PERAM
$lL?-f,QN•I')r?ACT0 R AIQ-RFTMFNT
Sub -contractor for
have agreed to be
For the project located at 1(4 '10 1— t ! P —00d—S+
(Project Street Address or Property Tax Ill #j
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.
PRINT NAME
COUNTY CERTIFICATION NUMBER
state of norida, County _ `�
Th�regoing instrument was signed before me thi�t. Aay of
who is perso lmo5,96.r has produced a
STAMP
r ►o� Notary Public State of Florida
Danyel Jones
My Commission GG 352016
oi Expires07/04/2023
Revised 11116/2016
(Qualifier)
PRINT'NAME
COUNTY'CERTInCATION NUMBER
State of Piorida, County aE G.-9—
The foregoing instrument was signed before me this ay of
2 fh.�rc�.�
who Is persona imo has produced a
as Apeatin.
,4)" "oil Notary Public State of Florida
Danyel Jones
K. My Commission GG 352o16
4oia Expires 07/04/2023
N
STAMP
the
i
PERMIT # ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERWHT
SUB-CONTR A CTOR ACRFEMENT
have agreed to be
v
Sub -contractor for ` _Urd
mary Contractor)
1: '�Iql j"" I n "a
(Project Street Address or Property Tax ID #) Af "7 V, 7
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
of a Ohange of Sub -contractor notice.
(Qualifier)
PRINT NAME
COIMY CERTIFICATION NUMBER 1
State of Florida, County
foregoing instrument was signed before me�thiza day of
ichiu&q4, 2%1), by — A KY`
who is persona or has produced a
as identification.
STAMP
Sign of ry Public
Print Name o o ry Pu
��pr viy Notary Public State of Florida
Danyel Jones
< My Commission GG 352016
or �' Expires 071pg12023
Revised 11/16/2016
(Qualifier)
�YY\ MO1 ro%—AD -
PRINT NAWW q C
COUNTY CERTIFICATION NUMBER
State of Florida, County o ve
The foregoing instrument was sign before me thisrc)0 day of
20--by ®ae`
who is personal) known or has produced a
:o+pr ° Notary Public State of Florida
Danyel Jones
My commission GG 352016
w Expires07/04/2023
7