HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
TOM'S MOBILE HOMES
have agreed to be
(Company Name/Individual Name)
the PLUMBER Sub -contractor for EDDIE GRUNDEL
(Type of Trade)
(Primary Contractor)
For the project located at 743 NETTLES BLVD
(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)
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PRINT NAME
_Jj+ (WW7
COUNTY CERTIFICATION NLIMBE.R�
State of Florida, County of_11•'w��
foregoing instrument was signed before me this day of
Zd �-by 0)-oj X
who is personally known )IL —or has produced a
Signature of
Print Name of Notary Public
•y,, Notary Public State of Florida
� 0 `F Nancy Mims Armstrong
y My Commission GG 913313.
Oj� Expires09l1612023
Revised 11/16/20
f-o� . A-X�d�
SUB-CC-O�D fN�TRACTOR SIGNATURE (Qualifier)
& 6 [c" nirde)
PRINT NAME -
COUNTY CERTIFICATION NUMBER 1
State of Florida, County of t
foregoing instrument was signed before me this iy� day of
202;�y tb bI V L 1
wh is personally know/or has produced a I
as de tific on.
Signature of Notary Pub
Print Name of Notary Public
I ONNotary Public State of Florida
Nancy Mims Armstrong
OF
y r My Commission GG 913313
Expires 09/16/2023
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company N me/In vidual Name)
the ' tc�
('Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
C" have agreed to be
Sub -contractor for F_L(�_[.n
(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)
;E-a - "Id
PRINT NAME
COUNTY CERTIFICATION T�--ER�
State of Florida, County of
e foregoing instrument was signed before me this day of
20 �/�/�/���bbby �� _�
�beispersonally kn.4S�or has produced a
P Y
identification.
STAMP
Signre of Not Public
etgm at F odde
Print N e 1My Mims Armstrong
n aly Commission GG 913%
Gri Expims0911512023
Revised 11/16/2016
SUB -CON TOR SIGNATURE (Qualifier)
��n �_O_�Li
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
Ilit*fqregoing instrument was sin a ore me his 1 day of
20�y
who,is.personally kn n or has produced a
Signature of NotarytBblfc
V Notary Public State of Florida
P _ , oN o on GG 913313
OF fV
Expires 0911612023
the
PERMIT #
(Type of
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building. & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`r �
V r kI �
0 have agreed to be
Sub -contractor for
"P'&yAAy4 A
(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.
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CONTRACTOR SIGNATURE (Qualifier)
bay\ '
PRINT NAME
COUNTY CERTIFICATION_iG�`"'
State of Florida, County of
/11t4oregoing instrument was signed before m this day of
MOW,ri
wh personally known or has produced a
as iden ' ication.
P b' tote b ST
g uns
Signature bMy Commission GG 913313
p Expires 09116/2023
Print Name of Notary Public
Revised 11/16/2016
— /L �
SUB -It TRACTOR IGNAT \ (QualifiJr)
r✓ � L i
PRINT NAME
cam-"Lszo LI/
COUNTY CERTIFICATION NUIVBFqR
State of Florida, County of
regoing instrument was si ned before me this day of
`JA2(21__!/ey 1 u n.
who is personally known�r has produced a
Print Name of Nota i Nan ry Publ' g�� Of Floe
o� MY da
Commf !MS Armq o sg
n Expires Mis on GG 913313
6/2023
the
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for I?"P-1 rix-L
(Primary Contractor)
��3 �J
(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)
PRINT NAME
��VI.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
foregoing instrument was signe befor me this day of
2(1 b Wl N I &�i� 1
y
who is personally known
or has produced a D
�,4y %_ Notaikublic State of Florida
Nancy Mims Armstrong
Print
Revised 11/16/2016
02-0- L2N' � (
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of (i
20_, by Gt.
who is personally known _or has produced a ,
Notary Public State of Florida
Nancy Mims Armstrong
�yipdriirpission GG 913313
Expires 09/16/2023
STAMP