HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTI
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNEF,
BY
BUILDING PERMIT St Lucie County
SUB -CONTRACTOR AGREEMENT
(Com any Name/Individual Name)
�-, - the (�yv, � ��'�:+ Sub -contractor for
(Type of Trade) ( (Primary^Contractor,)n
For the project located at
Street Address or Property Tax ID #)
have agreed to be
-t- P P,
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.
PRINT NAME
�I
COUNTY CERTIFICATION PUMBER
State of Florida, County of �' Vu c
The foregoing instrument was signed before me this o day of
20Rby
who is personally known _or has produced a
as identification.
PRINT NAME
Uhl 1 -p-
COUNTV CERTIFICATION NUMBER
State of Florida, County of %
The foregoing instrument was signed before me thirt )4 day of
Dec.zoL76y
who is personally known _or has produced a
as identification.
��,0.4rM `"\AIVYO �L STAMP V �9r yrooxwy
SigKSt5&8tto y ] ub is y Signature of Notary Public
a ��4 - 4ft-F)1?ZVq
Print Name of Nota Public / Print Name of Notary PUP
u lic
• •AUDREY B. HUMPHREY AUDREY B. HUMPHREY
Revised 1 I/16/2016 r+l' ' t s COMMISSION I FF 174�2 =*: += MY COMMISSION # FF 174772
*` EXPIRES: March 6, 2019 EXPIRES; March 6, 2019
•k d�
,R •.•' Bonded Thru Notary Public UUnderwrilers
iy• BondedThNNotaryPubl�cUnderwrilers
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
2r%% 2a hw2l '4 () pl-2:1- have agreed to be
(Company Ikme/IndividuakName)
the f C' ('Y' Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at --// .3 Irecy Wize--dr I /C
(PrOjectnStreet'FAddress 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.
COT ORSIGNATURE'(Qualifier)
1 i o---a'b'o-,__'�r���-o
PRINT NAME \
COUNTY CERTIFICATION NWJ3ER
State of Florida, County of l L " "lam, I i
The foregoing instrument was signed before me this day of
20_0by
,W
N) )
C01UNTV CERTIFICATION ER
State of Florida, County of ��((~�\i\ .. p�'7 '�"• C
The foregoing instrument was signed before me this day of
�•Jr&J +C 20_, by
who is personally known or has produced '
as identification.
'1 L
AUDAEYB.HUMPHREY
Revised I 1 /16/2016 'ti�� PVr COMNHSSION # FF 17477
EXPIRES: March 6, 2019 e�
* fO
Ben ded'rhrnt'bteqpublicUnden+M
who is personally known _or has produced a
as identification.
' TAMP
Signature o a blic
Print Name of Notary I
ublic
FiA4 '1YPv+g AUDREYB.HUMPHREY
R=+: r MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
;� :` Bonded Thru NotaryPublfo Underwriters
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual-,Name),), ;�
the i�'I e e h Sub -contractor for 1 d) N �? /i z��Y_�Pe J OW
(Type of Trade) (Primary Contractor)
For the project located at 4 f oz Rec te7r2n r # F0 r t'PI,e rC L 3"y
(Prof _Street:Address, or.Eroperty 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.
-
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of _WiC'i C_ State of Florida, County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
�e C 20 , by 2017 by � ;wit , k�(� h P,*h
who is personally known or has produced a who is personally known or has produced a
as identiTicat' n. as identification.
eA� CT
Signature of Notary Public L� Signature of Notary Public
�
g ry
14,b ggN _K �� "? FlfKF/
Print Name of Notary Publi Print Name of Notary Public
pUDAEY9.HUMPHHEY
"v # FF 174772 ti'"' oy%,
: MY COMMISSION 6 2p19 ,;g �AUDREYB. HUMPHREY
Revised 11/16/2016 =+E ` EXPIRES: March tiers =• + MY COMMISSION # FF 174772
',; PuVicUnderar EXPIRES: March 6, 2019
oo !7f(„q4`R`', Bonded Thru Notary Pubra Underwriters