HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTL
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/In�di^ury'dua1N1 m)�
the %L,,..-- . Sub -contractor for
(Type of Trade (Primary Contractor)
For the project located at //3 . �.� S'A p" T� Y 10, y rr 7—
(Project Stree &res 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.
P
.�CONT r `nI �2�SI SX -If E`(Quali 'er)
PRINT�E
COU Y C RTIFICATIO BER
State of Florida, County of 74M e
T e foregoing instrument was signed before me this day of
�J 2QZLby 4 ) I
who is personally known _or has produced a
as identification.
115
I
STAMP
Signature of Not. Public
dw'zp
Print Name of Neftary Public
AUl)? B.HUMFHREY
PUO MY COMMISSION # GG 300817
*_= EXPIRES: March 6, 2023
Revised 11/16/ 1i;FOFF;°PQ 13ondc Pobli� ,
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l ]3=GO - IRAr R'STGNATURE (Qualifier)
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CO Y CERTIFICATION BER
State of Florida, County of ) &(
The foregoing instrument was signed before me this day of
2QZ by I
who is personally known or has produced a
as identification.
STAMP
Signature of Notary ly4blic
'%Qk-g> ReA 4)tA, hn6-
Print Name of Notary Pi blic
AUDREY B. HUMPHREY
#: ,= MY COMMISSION # GG 300817
EXPIRES: March 6, 2023
FOF F„�Q' Bonded Thru Notary Public Underwriters
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company l�iame/Indvidual;Nlame_)_,
the Sub -contractor for
(Type of Trad
(Primary Contractor)
have agreed to be
/ For the project located at i ?n;e2e-e- y E 2-
(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.
21
ZCONNTRA 'IIR Si 4A-TTJRE'((:ualifier) - . _R CO •RAC R SIGNATURE (Qualifier)
PRINT; _ AME
C01711PY CERTIFICATIOER
State of Florida, County of d 7 �� e
-XT e foregoing instrument was signed before me this day of 1
)77 , 2QZLby 4 J I l
who is personally known or has produced a j C
as identification.
1
STAMP
Signature of Nota Public
��►� s-
Print Name of N tary Public
A:JDREY B.1-fUfur'PIIREY
YaG��c; 300817
tV CO'�1 1SS{ON # OG
'EXPIRES: fvi Pubt�� �?rvvri!ers �s
Revised 11/16/ 1�r�°` 6unded�
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PRINT N. X
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CO CERTIFICATION ER
l
State of Florida, County
The foregoing instrument was signed before me this day of
, 22Mby
who is personally (mown or has produced a
as identification.
STAMP
Signature of Notary Fqblic .
J�
Print Name of Notary P blic
AUDREY B. NUMPHREY
*_ MY COMMISSION tt GG 300817
EXPIRES: March 6, 2023
Bonded Thru Notary Public Undenvfllers
.:-�6rsa:rem.2a rPr�nSazs a": �w:+i
r ti
PLANNING & DEVELOPMENT SERVICES
I La Im Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/I44vidual;N_ame)M1
the / Sub -contractor for
( ype of Trade)
(Primary Contractor)
have agreed to be
r �
For the project located at //3 / L 5'A d� %fir T �e i �' &e- S q 9 8 Z
(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.
"RE "(Qualifier)
PRINT •, AME
COVYTY CERTIFICATIO MBER
State of Florida, County of7.1 jJ �► j e
T e foregoing instrument was signed be}fo°re'miee this day of l
2qpaby
who is personally known or has produced a
as identification.
I I _�
1
STAMP
Si
Sgnature of Nota Public
QPN'z5>
Print Name of N ary Public
p `i EY
vPua AUDREY f3
,�, 4�1Y Cp�y11V1iSSlON �` GG 30081 r
*i Sty!, -k EXPIRES: March 6.2023 ,ers i
Revised 1.1/16/ Fiunded�h�NN°aryPub�
OFF,
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CO RAGA R SIGNATURE (Qualifier)
PRfifiIly''T•-NAI
UV
CO Y CERTIFICATION N ER
State of Florida, County of �
The foregoing instrument was signed before me this Iday of
' 20 by
who is personally (mown or has produced a
as identification.
STAMP
Signature of Notary lie 14�L
Print Name of Notary P blic
;2oYPnY?y� AUDREY B. NUMPNREY
1-0Y CC.)MMISS1UN f# GG 300517
EXPIRES: iv;arch 6, 2023
Bonded Thru NoFay Public Underurilers
r
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual=Name)
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at //.3 ,&,Z 5'p b,., ar To i �,r^.ee-e- `t t 2-
(Project Street.Adelressaor Property Talc 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.
CONT R SI NA`T RE'(Qualifier)
PRINTS AME
colorfrY CERTIFICATIO MBER
State of Florida, County of -1Wr-e-
T e foregoing instrument was signed before me thisy day of
20,ZLby
who.is personally known _or has produced a
as identification.
145
Is cj<rl STAMP
Signature of Nota Public
d'vz�)
Print Name of Nqftary Public
PJg�=
AUpR4�Y 6. HUI��P� 4R3 08'17
# GG
,'o�ApY
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o �,{ CO�ib44SS40N
1V' g 2023
'P'
EXPIRES:
ublickind
ms,:
Revised 11/16/ e
1'�i'; pFF O
ionded Thru
(I
STVTOW C I2`SIGNATURE (Qualifier)
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PRINT_NT_ , A1 —
CO Y CERTIFICATION N BER
State of Florida, County of
The foregoing instrument was signed before me this jy_ day of
who is personally known or has produced a
as identification.
STAMP
SignatOmf Notary li,
•SD 7 mil- �� � 6'
Print Name of Notary P blic
•flY?f/ • t
,=o<?•-..�.c,' AUDREYB.NUMPNREY
MY COMMISSION # GG 300817
"; .. EXPIRES: March 6, 2023
Bonded Thru Notay Public Undarvriters
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company lame/Individual°:Name),;
the a &:5 Sub -contractor for
(Type of Trade)
(Primary Contractor)
have agreed to be
1
For the project located at //� C S''Qrr, ar 7� I'to, e-&e. `l y 8 7—
(Project Street Addressor 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.
CONT _R SI NAT "(Qualifier) r COWC� R SIGNATURE (Qualifier)
1:5�et 4'4 IV
PRINTr . AME
C010yrY CERTIFICATIO MBER
State of Florida, County of 7.1we- ) e.
-1 T e foregoing instrument was signed before me this - day of
�1 20°gby J�T
who is personally known _or has produced a 1
as identification.
I .:
�+�W/► STAMP
Signature of Nota Public l/
Q�Au'z�) r-�`',��!�� rrl U—� �A q
Print Name of N tary Public
6. HU1�1PI-iREY
'o.ApY PJa ,lam
AiJDREY _
G'G JVOt)� I
C
{ COiv��1iSS4Via c 6 2023
EXPIRES:« !`
N: _,•.-
Revised 11/16/
publicUndenrriters
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- 4 C' Lim i
PRIfiN�TN' .
VV
CO Y CERTIFICATION N ER
State of Florida, County of _ A, &( f,
The foregoing instrument was signed before me this day of t
' 2QZ by fir`
who is personally known or has produced a
as identification.
STAMP
Signature of Notary lic
Print Name of Notary P blic ,
AUDREY S. HUMPHREY
MY COMMISSION # GG 300817
EXPIRES: M;arch 6, 2023
Bonded Thru Notay Public Underwriters i ?_
Su^Y(5 SNk2'nRlS�aA3'�'P�Z•ET.Bl1i9YkID18 J'FP.S`6[tE13ttSSY3'::in5�"S.