HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(-t�A,0 jO U 17t- ) have agreed to be
(Company Name/Individual Name)
the C— ISC V_I.r-AL Sub -contractor for _i05-r Sp (0410^sS
(Type of Trade) (Primary Contractor) l
For the project located at boa 5 0-yC£iq�o txZ_ OA) `1 jr-i✓5*W 6£4eAi
(Project Street Address or Property Tax ID #) 'j Y! 577
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.
a
NTRACTOR SIGNA (Qualifier) UB-CONTRACTOR S (Qua ifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20n by
who is personally known or has produced a L
as identification.
STAMP
'gnature of Notary Pub '.
Print Name of Notary Public
�•o�,Y�bai,� LASHAHNA INGRAM a
a u Notary Public - State of Florida
_N: My Comm. Expires Dec 20, 2018
Revised 11/16/2016 %FOFFI��O�, Commission # FF 177249
Bonded through National Notary Assn.
Michael Dale Ault
PRINT NAME
EC0001693
COUNTY CERTIFICATION NUMBER
State of Florida, County of MAILLO,
i
The foregoing instrument was signed before me this S day of
�l!/l/ e_ , 2017, by - N"r,4 Q tf, ( &l4 4 /
who is personally known CIor has produced a
as identification.
/ "//�i/STAMP
Signature ofNdtaryTublic
Print Name df Notary Public
�l136TTY MICHALMISKI
Notary Public, State of Florida
Commission# FF 147530
My comm. expires Aug. 4, 2018
1 i
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
U MV) Y �, / LQ n n I L) J Q ave greed to be
(Company Name/Individual Name) �-�.1 " / / / ,
Ae—
the Plum Inm Sub -contractor for�'JcS eM t'�Dy�J -
(Type of Trade / - - (Primary Contractor)
For the project located at 6 S'O 4C£ (Project
z-
(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.
CONTRACTOR SIGNATURE (Qualifier) S ' CONTRACTOR SI ATURE (Qualifier)
11J"-'_�t v, d ILC Z!�� Loloote CLW'�,Z(Z _(SoO
RINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County oF__A `
The foregoing instrument was signed before me this 10 — day of
who is personally known or has produced a
as identification.
��fl�- STAMP
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
la11� l r)q
COUNTY CERT + CATION NUMBER
State of Florida, County of_mQ_i_-Ln
The foregoing instrument was signed before me this - /:3 day of
20__a by L-61)n,c o- Cil.t.�bty d5r .
who is personally known or has produced a
as identification.
LASHAHNA INGRAM
=o`�
Notary Public State o! Florida
.:
My Comm. Expires Dec 20, 2018
N„* °o,
Commission # FF 177249
Bonded through National Notary Assn.
STAMP
Public
of Notary Public
Y'P�'
f; "LSON
'_� 'c,`-
.;,
SAWN
MISSION #FF159777
MY COM 2018
8,
"�;`�! oP;'
EXPIRES November
'TOFF •,''
(407) 398-0153
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