HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 2 Sq 'ISSUE DATE
PLANNING & DEVELOPMENT SERVICES _
Building & Code Compliance Division . FtECE''+'
BUILDING PERMIT N O V 17 2K Il
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Fern
(Company Name/Individual Name) l
the e1 e c�!`1%L Sub -contractor for
(Trade) (Primary Contractor)
For the project located at
531 Z 1-h b5t U,-
(Project Street Address or Property Tax D #)
have agreed to be
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.
T�J ualifier)
kIj
PRINT NAME P
aly
CO CERTIFICATION N BER COUNTY CERTIFICATION A ION NU BER
State of Florida, County of li� State of Florida, County of t/ t G
The for going instrument was signed before me this � day of The fore oing instrument was signed before me this�day of
O "' 2, by 1 L "' , 2�l by
has produced a L who is personally known or has produced a L DL
who is personally known _�r � —
as identification. as identification.
AMP LQ ' _STAi
A I
�CN.t.,ylie Signature of Notary Public
PrintNameofNotaryPubl' ,KAREN S. NIELSEN
;State of Florida -(Votary Public
s Commission # GG 207484
';�ooe�ec My Commission Expires
June 12, 2022
Revised 11/16/2016
Print Name of Notary Public _
PERMIT # �1 1` /� �'2 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisil.lin RECEIVED
COUNTY
BUILDING PERMIT NOV 17 2021
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
have agreed to be
(C mpany Name/Individual Name) I ,p
the ,i�ve Sub -contractor for
( ype of Trade) (Primary Contractor)
13 l
For the project located at s�� %1 (�� l�C�'��� 'Arer,
(Project Street Address or Property Tax I #)
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.
CTb SfGRE alifier) iB BRA ORaSCGLY E (Qualifier)
'-fMT NAME _ PRINT NAME
COUNTY CERTIFICATION NU ER �1 % COU CERTIFICATION NU BER
State of Florida, County of GI[, State of Florida, County of �L
The fortgoing instrument was signed before me this — day of The fl"f r going instrument was signed before me this i day of
Q� 1!�`�, by AQ A �'�WI�K C�CJ�rYI /cJ/ " � 2tl�1 by
r
who is personally known _or has produced a who is personally known _or has produced a
as identification. jl�Illtt
as identifica 'on.
STAMP STAMP
Signatu of Notary ublic Signature of Notary Public
Print Name of Notary
p�uu,
KAREN S. NIEL EN
State of Florida -Notary Public
=* 'c Commission # GG 207484
My Commission Expires
June 12, 2022
Revised l l/16/2016
Print Name of Notary Pub oo��Yp�a�� ;NIELSEN
;a State of Florid
a-Notary Public
=■ *_ Commission # GG 207484
i OPT
My Commission Expires
June 12, 2022