HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the EL 6C 4-ie t « L Sub -contractor for
(Type of Trade)
have agreed to be
Sv5-� &Cto �io•�S Co�1��ir.Yj'��
(Primary Contractor)
For the project located at 10,ied ;�0 0tO.-o Je-� l00$ 'J-V)S-fA" GW_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.
ON
CONTRACTOR SIGNATURE (Qual e-r)
PRINT M>,ANAN
COUNTY CERTIFICATION NUMBER
State of Florida, County ofZWVI� r
The foregoing instrument was signed before me this + day of
who is personally known _or has produced ah
Jidlenti-C1 l • 0
STAMP
Print Name of Notary Pub'c
LASHAHNA INGRAM
=e`b` Notary Public - State of Florida
* My Comm. Expires Dec 20, 2018
Commission # FF 177249
Bonded through National Notary Assn.
Revised 11/16/2016
For,
""s
E.,
M�'
"Tt'
M
�, ' ,
Michael Dale Ault
PRINT NAME
EC0001693
COUNTY CERTIFICATION NUMBER
State of Florida, County of /tlo l
The foregoing instrument was signed before me this dayof
,20_L?by Nl�GYlC3 �1 U1��e ► i`� ��
who is personally known has produced a
as identification.
STAMP
Signature oo/f/ otiry Public
/
,(- &'J.5 /c/
Print Name of Notary Public
BETTY MICHALOWSKI
`mom Notary Public, State of Florida
Commission# FF 147530
ZoQ My comm. expires Aug. 4, 2018
PERMIT# ISSUE DATE,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PI U MJJI 1CA / LOhyj I"e eU 1 a Sb ave agreed to be
the FCompany Name/Individual Name) 2�G
I UM.Ijt I j Sub -contractor fol� 1554 �d(t) t,�S �0^""-�C��Nf
(Type of Trade) (Primary Contractor)
rII
For the project located at %o jC�
6Q c� 0* ��a /Z VAJf 106g
(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.
CONTPAkCTOR SIGNATURE alifier)
f Ccjk<<k P. D��
PRINT NAME
COUNTY CERTIFICATIONNUMBER
State of Florida, County of 0`
The foregoing instrument was signed before me this day of
2JI by J r
who is personally known or has produced a FL -
SUB -CONTRACTOR SIGNATURE (Qualifier)
( nAAe_ Cu\b-&-tso &1
PRINT NAME
�t- (v 54
COUNTY CERTIFICATION NUMBER
State of Florida, County of lArl
The foregoing instrument was signed before me this day ofr-
�t .t ntg , 20}�, by 1 n () nL j O,u I Aod l
who is personally known or has produced a
identification. as identification.
STAMP STAMP
ig re of Notary Public ikn re of No a y Public
cJ� 15or2
Print Name of Notary Public
Y �,,,—
LASHAHNA INGRAM
?o�µa Y �"I
. �`
Notary Public State of Florida
My Comm. Expires Dec 20, 2018 t
49
=" ° o;=
Revised 11/16/2016 �'%�°
#
Commission FF 1772
ii-roup National Notary Assn.
;; ;°�'�`
Bonded
Print Name of otary Public OO
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