HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
LILLEY A/C / JARED GIBSON
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for KURT ALLEN
(Type of Trade)
For the project located at
(Primary Contractor)
S BROCKSMITH DR. / PID#2317-211-0020-000-3
(Project Street Address or Property Tax ID #)
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.
01
CONTRACT SIGNATURE (Qualifier)
KURT ALLEN
PRINT NAME
IH1025140 # 3013L
G ytQ
COUNTY CERTIFICATIO } R
State of Florida, County of
The foreLroing instrument was sign before me this day of
211, by
who is personally known or has produced a
as identification.
Signature of Notary Public
SUB-CONT CTOR SIGNATURE (Qualifier)
JARED GIBSON
PRINT NAME
30008 / EC 13004882
COUNTY CERTIFICATION NqNMER
State of Florida, County of
The foregoing instrument was signed before me this�Efty of
20LJb�- Q.Y�y d l9L (0r M_
ir who Is personally know_e�or has produced a
as Identiticati n.
STAMP
Signature of Notary Public
v au KIitNA
Print Name of Notary Public y* MY COMMI oN �1�4.
* EXPIRES; February 2�� 2021
�9o°�Pa Budget Notary Services
P e�
Revised 11/16/2016
Print Name of Notary Public
STAMP
=°fig ,Pusvc HMNA A BLOOM
* *MY COMMISSION#00071106
c� EXPIRES: February 25, 2021
S` OF PO Bonded Thru Budget Notary Services
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance -Division
KURT ALLEN
(Company Name/Individual Name)
the PLUMBING
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for KURT ALLEN
(Primary Contractor)
For the project located at S BROCKSMITH DR. / PID#2317-211-0020-000-3
(Project Street Address or Property Tax ID #)
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.
CONTRA OR s (Qaau®er)
KURT ALLEN
PRINT NAME
IH1025140�
COUNTY CERTIFICATION ER
State of Florida, County of • �
The regoing instrument was sign before me thls day of
who is personally known _or has produced a
KURT ALLEN
PRINT NAME
IH1025140 4 3(�q8
COUNTY CERTIFICATION NLjIVi��R
State of Florida, County ofA
The f going instrument was signegbefo me this { day of
20� by IO-
who is personally knownik r has produced a
ne IAn..s:NnnHnw on IdewN{4ne11nw
Print Name of Notary Public
M1I4A ABLOOM
a°sue'
February Pue4� MY COMMIgg10N # GG 071106
* 25,2021
* e EXPIRES: seMles
Revised 11/16/2016 _T91,00.o BondedThrue*etNotary
STAMP
Print Name of Notary Public
?otag; P�s4 KITINA A BLOOM
* * MY COMMISSION # GG 071106
N v EXPIRES; February 25, 2021
Tor 90* Bonded Thte Boot Notary Services
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
LILLEY A/C / JARED GIBSON
(Company Name/Individual Name)
the MECHANICAL
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for KURT ALLEN
(Primary Contractor)
S BROCKSMITH DR. / PID#2317-211-0020-000-3
(Project Street Address or Property Tax ID #)
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.
ZONTRACfOlk SIGNATURE (Qualifier) CONTRACTOR SI A Qualtlier)
KURT ALLEN
PRINT NAME
IH1025140 qT- 30agf)
COUNTY CERTIFICATION ER
State of Florida, County of
The regoing Instrument was sZ�4L[Q'
before me this day of
201, by
who is personally kn _-_- or has produced a
as ideatitication.
STAMP
Signature of Notary Public
Print Name of Notary Public
KMNA A BLOOM
myCOMMISSION # GG 071106
o� F_xpIRES: February 25, 2021
9�Gf 0, Bonded Thna Budget Notary Services
Revised 11/16/2016
KEITH LILLEY
PRINT NAME
26484 / CAC057186
COUNTY CERTIFICATION DWMER
I-=/��
State of Florida, County of
^ice
The foreg ing instrument was signed befooreQ me thisX day of
2dA,/by
who Is personally Imowdor has produced a
as Identitleatl o.
STAMP
Signature of Notary Public
Print Name of Notary Public
YP
tl� Ug
* MY COMw�ioN # GG 071108
'11 February �oR t�00 80ndedpThE BNdge Notary w Ws