HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# �1 1 _ 1� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT .
(rlVSC-1V_V0 oL 31.4-1 AV314)E1z
(Company Name/Individual Name)
the r `&7C_ IV 0,\- , A% L. Sub -contractor for
(Type of Trade)
For the project located at
g000 Q C-, ll`�NNJ 'LN
have agreed to be
(Primary Contractor)
F1% Qit"E, `Lj E �
(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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CO OR SIGNATURE (Qualifier)
G Alt-W NW c-,Z
PRINT NAME
COUNTY CERTIFICATION NUMBER
s k State of Florida, County of —11 *R
The foregoing instrument was signed before me this` 4 day of
,20Aby �'.1'.bac'�i0 Nst,nc►v.�eZ
who is personally known or has produced a ': L 4D L
as identification.
Signature of Notary blic
110 - _ 4% I't ny 6 �,^ A .S
Print Name of Notary Public
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UB CONTRACTOR SIGNATURE (Qualifier)
I'ILi13G(-00 vJEOtt_11W Avs`iEZ
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this A!L da11y of
,20�� by ���iblr'�O. j;asv►1,►�1ii
who is personalty (mown or has produced a b L
as identification.
STAMP STAMP
Signature of Notary blic
Print Name of Notary Public
•1PpY PVy4, DEANNA b1AR1E GIVENS t
61Y COMMISSION # GG 022023
:0 5 EXPIRES: December 16, 2020
Revised11/16/2016 %F���;,°:`'• Bonded ThnsNotary Public 1.19derwiltnrs
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.a°�aYP�•� DEANNAMARIE GIVENS
MY COMMISSION # GG 022023
pj 05 EXPIRES., ember 16, 202a t
'•. �FF�Qr•' Bonded ihraN:&igPLb1;;; ,:;c:?rrcci:r.
s
PERMIT# n ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
11-t Y3E Yz TO
(Company Name/Individual Name)
the � Lv M S I N G
(Type of Trade)
For the project located at
�E 4Z.W Prv`l'`Q�Z
Sub -contractor for
i�OQt) Q G PJN'�
(Primary Contractor)
to
(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.
.I�t.J-AAf&
CO OR SIGNATURE (Qualifie ^L
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ! `_ -y C:\'l
The foregoing instrument was signed before me this` 4 day of
20A by
who is personally known _or has produced a �L L
as identification.
,,,Signature of Notary blic
_�) -tea n.,ft, 6�vt n S
Print Name of Notary Public
UB-CONTRACTOR SIGNATURE (Qualifier)
�7'%l.l.SG�-c'o vi.En-11ki Aw1005Z
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of b -%-OCR
The foregoing instrument was signed before me this A-1— day of
\--►r 20�4 by V *%%` ber-1 O Wt�'K
who is personally known or has produced a V.1' h L
as identification.
STAMP
Signature of Notary blie
ttQ*h4s"ti 1;!\V-Vw --y
Print Name of Notary Public
STAMP
- -- - _ _ - _ _=�_FY •�:::ti..�:r'G.c-..�..r...sa+ ,.. 4Lf.Cr�..�.-:u:i a'.6',N.^.s�R•• :C
DEANNA MNRIE Gi'JEfdS, DEANNA MARIE GIVENS
MY COMMISSION # GG 022023 = 2' = MY COMMISSION # GG 022023
'N H EXPIRES: December 9G, 2020 %}'
o EXPIRES: December !E, 2020
Revised 1 I/16/2016 %F� ;°'� Bonded Thm Notary Public Undenvrii^.r eon F��P Bonded Thru riatay