HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�2_kr,(t ' c 7--,�-
(Co!�y Name/Individual Name)
the (�Llf. ,Cc, Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
(Project Street Address or Property Tax ID #)
have agreed to be
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)
P NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this LCtday of
—57
20&bye R-1.Q rlfka UDIA)LIud
who is personally known or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
vs'r 1lotary Public Stat6W Florida
Amanda P SandersDrl
MY Commission GG 21 W
164, / Exp res 04/25/2022
Revised
SUB -CONTRACT GNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this � day of
0& by
who is personally (mown _or has produJQ a, f
as identification. VJq'C0`%00 _51- 1`f5- b
� 1 ,=! C.d0A'204A--STAM1P
Signature of Notary Public
• �bil
Print Name of Notary Public
.WWa-
ryyyy NPublic Stata o(FWWa frA
+PAmanda P SanderibrJ_,
' .My Commission GG 211256
�j« /Expires 0412&2022
:1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVI�ES RECEIVED
Building & Code Compliance Divisio
AUG 2, 4 7018
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ST.I o ty Permitting
11
1., rJ � have agreed to be
the��Company Na a/Individual Name)
lfi m b Sub -contractor for ia,
(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 Chan
y of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qu ier) B-CONTRACTOR SIGNATURE (Qualifier)
�, ►� d �� Cast
PRINT NAME PRINT NAME 31q
��, /" -7 7 z 2.q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me thhiris(l day of
1T 20& by
who is personally Imown or has produced a
as identification.
e-�d STAMP
CHRIVINAMARIE RODRIGUES
MY COMMISSION # GG 152040
Bonded Thru Notary Public Underalters
Revised 11/16/2016
State of Florida, County of G,' ,l
The foregoing instrument was signed before me this day of
whe i� onaner� llv knoaai _or has produced a
as identification. A
STAMP
Signature of Notary Public '
"nwRtsnm MARIE
r'�' do et�•' RODeo'ff �"AffiS10N # GG
152040
EXPIRES; October 1
Thru Notary P0111-
sBonded