HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Corn any /Individual Name)
thea-'b l h Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
SCANNED
BY
St Lucie Count
have agreed to be
S 2—
(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.
N
COUNTY CERTIFICATION NUMBER
�LL• f /
State of Florida, County of 'T to i c
The foregoing instrument was signed before Jme tthis. / day of
s-
20, by lit-/ (Y ON &
6/is
personally known _or has produced a Ct'
1
as identification.
�lf L1(Ii�dOf .1 ��IGi�1J//1, STAMP
Signature of NoV Public V
Print Name of NIPry Public
ti,y'P''•. AUDREY B. HUMPHREY
Revised 11/16/2016 aiq = MY COMMISSION # FF 174772
* '*° EXPIRES: March 6, 2019 n.
Thor Nolary Public Un
'f�°fF''P•; lens
Bonded
Nl�a
COUNTY CERTIFICATION NUMBER
State of Florida, County of�- V. ) uC f -
The foregoing instrument was signed before me�thisl�/ day of
w o is personally known _or has produced a� -
as identification.
- STAMP
Signature. of Not Public
Print Name of Notai& Public
=�P
MPHREY
k # FF 174772h 6, 2019eb1. Unde_ aers
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Nknd/Individual
the rOLC01h'tCQ
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1-14N
Sub -contractor for
(Project Street Address or
(Primary Contractor)
have agreed to be
52
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
State of Florida, County of �y " t u,C i C
The foregoing instrument was signed before me this' / day of
2J!�L by V�'C
6 1is personally known _or has produced at• ��.
as identification.
( �l�i1 uxa SA774-,),Lo,r STAMP
Signature of Nopfir� Public 1 V 1 I
Print Name of NI/lary Public
Revised 11/16/2016 ki °"=MYCOMMISSION
A
AUDRMISS ON # FF 1E�:
# FF 1019i`-
EXPIRES: March 6, 2019 r.
+rope
Bonded Thru Notary Public Undersrilers
(:41L J� SKLIC.149
SUB -CONTRACTOR SIGNA (Qu er)
e.4% 1g�jY 1C
PRINT NAME
l� a r
COUNTY CERTIFICATION NUMBER
State of Florida, County of �_ �E- I ae I
The foregoing instrument was signed before me this, day of
qvv- 200, by
iw,s personally (mown or has produced a� -
as identification
/�z �_J' STAMP
Signature of Nutty
ot Public
Rtq
Print Name of Nota6 Public
AUDREYB.HUMPHREY '
,Qtix^Nc
-
MY COMMISSION I FF 174772
EXPIRES: March 6, 2019
Banded Thru Notary Public Unde.riters
l
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Y
mpany `N hiLdividual Name) .
the Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
have agreed to be
SZ
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
tt ) c
State of Florida, County of
The foregoing instrument was signed before me this day of r,t
2t'� by &TH)- /O
is personally known _or has produced a
as identification.
QL STAMP
Signature of o Pabtic U
Print Name of N fary Public /
P
AUDREY B. HUMPHREY
•{ti;�+ .
6/2 Revised 11/1016 4 '
MY COMidISSION # FF 174772
•EXPIRES- March 6, 2019
'' °�
^ja
Bonded Thru Notary Public Undewrdeu
o?•
K7:4J, a ^ - <'::�(l - - p
SUB -CONTRACTOR SIGNA (Qu • 0
e4T tz -oY J lC
PRINT NAME
w z
CO CERTIFICATION NUMBER
State of Florida, County of � e I` �- -
The foregoing instrument was signed jbeefore tm- e�this,� day of
z0L, by T�'TlT C Er/y
w o is personally (mown or has produced a
as identification.
STAMP
Signature of Noltry
Public
Print Name of Notai& Public
ae a a�
+1 ram
AUDREYB.HUMPHREY '
MY coMMISSION # FF 174772
*_
`��':`
EXPIRES, March 6, 2019
_. .oWl•Iln,inrturilRrC
the
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
IAIVc Y have agreed to be
Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at ZLE p 57 L
(Project Str eM1 res operty 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
)uC 1 c
State of Florida, County of Y. ( . c
The foregoing instrument was signed before me thisG.,, day of �1
24a by /�
o is personally known _or has produced a i' j�' d1 J IIC�
as identification.
O-A
STAMP
Signature of o Public
Print Name of N fau
Public
O1ppY P�B�•
Revised 11/16/2016 *:
AUDREY B. HUMPHREY
MY COMPrIISSION # FF 174772
`*
March 612019 t7.
ar °'
EXPIRES:
Notary Public Underwriters
Bonded Thor
SUB CONTRACTOR SIGNATURE (Qu . ie )
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �-V. ) Lt e f -
52
The foregoing instrument was signed before Lme thi-.11/— day of
lN` , 200, by
w o is personally known or has produced a�'
as identification.
• STAMP
Signature of Not Public
Print Name of Nota Public
aT.
tf;J;dyaL AUDREYB.HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
4F F ;• Bonded Thru Notary Public Underwriters