HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�� l�. �—�0 lqr /e a
Par �e � have reed to be g
(Company Name/Individu 1 Name) � `
the /1J`n'�'� Sub -contractor for �uV�f I Sf Ct�Y C�/ D_ � Al
(Type of Trade) (Primary Contractor)
For the project located at GG �� �f l "��� 9tiv4`��
(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&c I g I
COUNTY CERTIFICATION NUMBER
State of Florida, County of �5—)c
The foregoing instrument was signed before me this
--9_? day of
2011,by, I1Wr%J4
who is personally known &r has produced a
as' tificatio
STAMP
Signature oflNotary Public
SOPHIA HARRIS
MY COMMISSION # FF997093
EXPIRES May 30. 2020
Revised 11/16/2016
SUB -CONTRACTOR SI NATURE (Qualifier)
PRINT NA
COUNTY CERTIFICATION NUMBER
State of Florida, County of 31. Ld4,
The foregoing instrument was signed before me this 21 day of
E"y" 20jEby
who is personally known or has produced a r-0 L
Sao-- 9 ?3 76.
tA0.Y FUB A&W M. HUSSAIN
MNCOMMISSION #FF942303
EXPIRES: April9,,
mr"O".19 B-fti'lsras4dNotalS8148S
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
J;�y C, 4", Z L t:
(Company Name/Individual Name)
the �&r,• C,, , Sub -contractor for
(Type of Trade)
have agreed to be
SAi5,l! C l Y Q 7,V
(Primary Contractor)
For the project located at •G � // Fwf e,� , gel, f e - /'1 e - FL - 3 � g ,K-1
(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.
- WW Wel,_
COTjCTOR SIGNATURE (Qualifier)
PRINT NAME
C,�� 1CI5)I`�
COUNTY CERTIFICATION NUMBER
State of Florida, County ofC��
The foregoing instrument was signed before tm_Vp
e thhs i� 7 day of
G.(y 24, by %nt`V � -1 I e%
who is personally known Kor has produced a
as identification.
h �
Ki7g_ft9fur_e_oTNot#ry Public
Print Nam a u ,c
SOPHIA HARRIS
MY COMMISSION # FF997093
EXPIRES May 30, 2020
53
Revised 11/16/2016
S CTOK SIGNATL;(E (Qualifier) C)
T±-AW0,11rC� LASS'
�AA
PRINT NAME
292-1c�
COUNTY CERTIFICATION NUMBER
State of Florida, County of 01l_— kc , Ile_
Theforegoing instrument was signed before me this Avday of
20jt,byL&J(!rOf 4JS
who is personally known _A/or has produced a
asidenti •on. %IbL_# R-100 1,vj-0
STAMP STAMP
Signa re o o Public
Al—_gji�w
ri t Name of Notary Public
ASIAM M. HUSSAIN
* * MY COMMISSION # FF 942303
EXPIRES, April 9, 2020
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