HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/1/(f
have agreed to be
(Company 716;"Wx
ndividual Name)
the Sub -contractor for�� -
(Type of Trade) (Primary Contra or)
For the project located at (S3s �- Ca- Lme-7- pop S- �Jc/'
(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.
C iI�!SIGNA RQII E LWlifier)
j I`
PR NAME A aegao��_,-
2°1,0C /z1,5__8S2e5'
COUNTY CERTIFICATION BER
State of Florida, County of
The forego' g instrument was signed before�,
me this
C 3da_yof
20�by VI+RUI 1'�(A �Jj k
_ who is personally known or has produced a rli D -
as
Print Name of Notary
Revised 11/16/2016
KAREN S. NIELSEN
Commission # FF 11563
My Commission
20Ej 8
pires
�u-ne 12,
PRINT NAME
COUNTY CERTIFICATION ER
State of Florida, County of K,
The fore g instrument was signed before me this a day of
201rl, by i r . l e�YfinK
who is personally known _or has produced a ✓ r V k J�
as
5ignatur of No �/i1ttN S. NIELSEN
Commission # FF 1
s, 15(i37
My Commission Expires
i3
Print Name of o
I
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division g
BUILDING PERMIT A�GLI'l
SUB -CONTRACTOR AGREEMENT PER;y7ITTi
St. Lucie County, FL
l f Y )TU-t Co rAro, 0-e_G� C have agreed to be
(Company Name/Individual Name)
the eJ f_C_J C' t(JV_� Sub -contractor for 'PODI s'RV V + to 1 I Y1
(Type of Trade) (Primary Contractor)
v For the project located at �335 C G1 I U iY\et C+ Put S+ Lu .F � 9326 "701 - OLpi -
(Project Street Address or Property Tax ID #) 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 df a/hangVf Sub -contractor notice.
RA OR URE (Qualifier) SUB -CO CTOR SIGNATURE (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of The foregoinginstrumentwas signed J
before me this - day of
Am" St
A 20� by V TJf &A �L
who is personally known or has produced a
/as� iid�e�ntiif'icaatioon. n
wlJl-
Signature.of Notary Pub c
wc'mllt i�-pull
Print Name of Notary Publi
.,. NICMOLE APONTE
••? MY COMMISSION it FF963031
Revis EXPIRES May 04, 2020
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14C". W4.53
'�' d C) o 0 a_:ae --s
COUNTY CERTIFICATION NUMBER
State of Florida, County of JI • W C i e
The foregoing instrument was signed before me this > day of
20 by UC�11a 61r, (A YV�G�i
who is personally known has produced a
as identification. L- A1!///��
-
. -
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STAMP s�"+� �J STAMP
Aign.ture ofrrNotary
[Public
Print Name of Notary Public
Notary Public Salt of Fbrida
' Brenda Raado-*weit
Ea,
My Ca M1*81 t FF 881312 F*ms 01H8/2020