HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
COUNTY
F 1 O R I D A
ISSUE DATE
PLANNING & DEVELOPMENT:
Building & Code Compliance
BUILDING PERMIT '
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the VEtA1t19"'_ Sub -contractor for
(Type of Trade) _
For the project located at
(Project Street
S NOV 0 3 2017
ermitting Department
St. Lucie County, FL
have agreed to be
(Prim ry Contractor)
��6 S Oesqw iltit<.-G
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.
CONTRACPO SIGNATURE (Qualifier)
NMn 1M 4
PRINT NAME
GrL- l q S'?Zo
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _L day of
, 2012 by
61
who is personally known _or has produced a
as identification.
�^ STAMP
Signature o7
tary Public
Name of Notary Public
�;• ° ••
JAMES ROUAN Y:
MY COMMISSION
li"'WEXPIRES:
�41130
Noveb, 2026Revised
11/162016
BodedThruNoIMYPt'1W@ Writ§rs
V
EC7O( p
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _4 day of
— , 20�, by /
who is personally known _or has produced a
as identtfcatioa
STAMP
Signature o Votary Publie
Print Name of Notary Public
"� �• JAMES
O
UAN
- ; MY COMMISSION q GG 008ti27
EXPIRES; Navember4, 2020
•,,oR � to,, Bonded ThRl Notary Pubile Urtdertrdtor8
the
PERMIT # ISSUE DATE
(Type
PLANNING & DEVELOPMENT SERVICES
. Building & Code Compliance Division
Name/Individual Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
have agreed to be
W /Ic-pi-i
(Prima Contractor)
For the project located at f 6 S OaQ I-C'C'
(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 GNATURE (Qualifier)
W�� 4N((6
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of ' t L UeA&
The foregoing instrument was signed before me this day of
20L1� by
who is personally know as produced a
as
STAMP
yp..(�� JAMES ROUAN
rrq' MY COMMISSION # GG 008627
EXPIRES:November4,2020 I
°F PUblicUndovmt3ts y
Revised 11/16/201 � �o± Flo • Bonded Thru Wary
Z?11 ./y/V
SUB -CO Cr SIGNATURE (Qualifier)
�!�n IQ file,
PRINT NAME
COUNTY CERTIFICATION NUMBER '-1
State of Florida, County of S % V ""1
The foregoing instrument was signed before me this !� day of
20& by
who is personally knowpL_Lmefhos produced a
as identification.
` STAMP
P..hCn
Print Name of Notary Public
�' '�''• JAMES ROUAN f
3eS•. MY COMMISSION # G^u 008627
•or EXPIRES: November4, 2020
C,o' � Bonded Thru Notary Publio Underwriter; I r