HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT .SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Com an Name/Individual Name)
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at C1 �� I ` , Pb r +
(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 Sffi-contractor notice.
CONTRACTOR SIGNA uaIitier) L
-fJW.A �� r6
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� !��A �� ICI 6�
COUNTY CERTIFICATION NUMBER
State of Florida, County ors • % k
The foregoing instrument was signed before me this 5 day of
"S a r , zo]�, byti a►.�4 •� G ray .•.a o 1 d �"
who is personally known _or has produced a :%.
as identification.
STAMP
Signature of Notary PdZPc
i Cq 4% ,ne. G " J R, v" S
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20___, by
who is personally known or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(_J 4R .0 f0jQ 0 Chave agreed to be
(Company Name/Individual Name)
the J_L 67Cf R i C.4 L Sub -contractor for
(Type of Trade) 11 i j (Primary Contractor)
For the project located at `C �1 k I `' t � a f + S +
j " 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 Sk-contractor notice.
CONTRACTOR SIGNA �+ uatiner) I
rV
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of • 1.�iC, �� r
The foregoing instrument was signed before me this 5 day of
�Cf.r ,20A,by4'&-00,,(► �TidVnvlO�e�'�"
who is personally (mown _or has produced a rrl.
as identification.
STAMP
Signature of Notary PdWc
�\ J4_,0„l.,ne.G�Jey.
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
,20-___, by
who is personally known or has produced a .
as Identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
II
r
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the b rj A_)C1 Sub -contractor for
(Type of Trade) 7 � (Primary Contractor)
�
For the ro' ect located at l q �-7 C_I k i I 1 D j" �� PbPt : S +
r�
(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 S*-contractor notice.
CONTRACTOR SIGNA' /► ualifier)
�fD6
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of� • L.% C k C
The foregoing instrument was signed before me this 5 day of
I a YN 20A, by t' J4 t+%
who is personally known _or has produced a i%. fl L
as identification.
STAMP
Signature of Notary Pi is
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20_ by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP