HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT ROOFINGPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I L C'" 1. +�S_
have agreed to be
(Comb, nyrjg Name/Individual Name)
the Sub -contractor for i Cam.
(Type of Trade) (Primary Contractor)
For the project located at
(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.
K
RACTOR SIGNATURE (Qualifier) S - CTOR SIGNATURE (Qualifier)
f 6J1Q k)4 Ate J "I'c-hcui
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S f r✓ lvt nr
The foregoing instrument was signedbeforeme this y of
20A, by tu6ee ll /",/
:!O>ntifleation.
is person nl _or has produced a
,
igna re of Notary Public
NotarY Public State of Florida
anderson
Pr' h� of o� ,l-�gplollibsion GG 21
w Expires 04l25/2022
Revised 11/16/2016
(_3 ()�C J t..(�
COUNTY CERTIFICATION NUMBER
State of Florida, County of L Gl. GJZ
The foregoing instrument was signed before me this today of
J-u `1 201jby
wir ' ersona n-:�_or has produced a
as identification.
n
JWWAMP
Signature of Notary Public
4 N Notary Public State of Florida
manda R Saadrann
Pr t of oOpR�Ni ISsion GG 211256-
w Expires 04/25/2022
0
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
CC -fit% � 501 u+, O+NS Cf F! oc i dG , anC have agreed to be
(Company Name/Individual Name)
the /
/ r
� �r�ern'r�. 1 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(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)
� V
d� L
PRINTNAME
COUNTY CERTIFICATION NUMBER
a.
NTRACTOR SI NA (Qualifier)
Shorn
PRINT
COUNTY CERTIFICATION NUMBER
State of Florida, County of 34, /�-�c G ,c, } State of Florida, County of g�`• K_U G
The foregoing instrument was . ed before me this day of / The foregoing instrument was si rm-A before me this / day of
20h?, by 20�a , by` : �'t;�_�-
who is personally known ✓or has produced a who is personally known for has produced a
as identification.
j4r6Ae6� 0)STAMP
Signature of Notary Public
Print Name of Notary Public
[424
Notery Public State of Florida
Amanda P Sanderson
My Commission GG 211256
ReVi
as identification.
��'t�,Q�Q�QJ(_,t�L► — STAMP
Signature of Notary Public
O �aXLdUSC4_ -
rint Name of Notary Public
Y
Notary Public State of Florida
Amanda P Sanderson
My Commission GG 211256
Expires 04/25/2022