HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT40-
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the F_[6Gr'eICq-1 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(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.
QaJ___ SdW ry",
CONTIACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _tt&yr F
The foregoing instrument was signed before
/me thisZ-1 dayof
20_4�7 by
who is personally known L/or has produced a
as identification.
STAMP
Signature
Print Name
KATHY K. GATES
°�� Notary Public, State of Florida
Commission# GC 104018
�• My romm. expires ,iuly 17 2021
Revised 11/16/2
PRINT NAME
- 6C®on307R
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ato
The oregoing i strument was signed before me thisCZLO/h/Yt_�
20L7 by /
who is personally known _4zlor has produced a
as ide 'cation.
STAMP
Signature of Notary Public
Dorise C. Wr,'1111(
Print Name of Notary Public
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BU"LliG PERMIT
SUB -CONTRACTOR AGREEMENT
iYi n no. I ,[ on ave agreed to be
(Company Name/Individual Name) `
the ': Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at l b-72 S S , nca_o_►'1 -Dk La + z/ J 91 r L Z415
(Project Street Address or Property Tax ID #) (461 , A' , ,� dv •.-
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.
CO RACTOR SIGNA URE (Qualifier) S -CONTRACTOR SIGN URE (Qualifier)
B la &�'k6p�n
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of —_y2ve2a� • ��',/Q
The foregoing instrument was signed before me thi9z/ day of
2017by f4CL 56 dW- / /i
who is personally known l/or has produced a
24(oS4
COUNTY CERTIFICATION NUMBER
State of Florida, County of —magi r)
The foregoing instrument was signed before me this —1 day of
�C 20 7 bbyy Lorn ru.e
who is personally known !� or has produced a
as identification. as identification.
c
STAMP LAC/ A P
Signature of otary Pu c S' ure of Not ublic N
i� �J- 1'1
Print Name of Notary Pub c Print Name of Notary Public JP MM\S empet a'�m
KATHY € Ey,P1� t\dallo�a�.,•
o�°�v Qom K. GATES
a Notary Public, State of Florida'
Commission# GG 104018
MYcomm. expires July 17 2021
Revised 11/16/2016
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BUILDING PERMIT [BY
SUB -CONTRACTOR AGREEMENT St Lurie C®UM
J
the -4A V A C.
(Type of Trade)
For the project located at -7 015
(Project Street
Qcd t ► \o , T o c • have agreed to be
Sub -contractor for �? l .. ebn �Ar o- iA J�i/1 c.
�
(p�� Ci,.ac�r) f
��SLV1 I! )i�' . 1 n11�IIh�V�Il1C�/l_
or Property Tax ID #)
It is understood that, if there is •any. change of status, regarding our participation with the above mentioned
the BuildinF' and Code Regulation' Division of St. Lucie Count will be advised pursuant to the
project, ,g ., g Y
filing of a Change of Sub -contractor. notice.
CONT ORSIGNATURE(Qfialifier•) ,
PRINT NAME
COUNTY CERTIFICATION NUMBER ,
State of Florida, County of
The foregoing instrument was signed before me this Z/ day of
L�Zf 2p�y by �➢� � JC7 07-7
who is personally knownr,has,produced a
as identification.
.� - uam,c•, SeT.A MPS
Signature i6f Notary P� lie v o KATHY K. GATES
Notary Public, State of Florida
Commission# GG 104018
Print Name of Notafy Public 0m�'• nDlre$ July 17 2021
Revised 11/16/2016
PNTRACTOR SIGNATURE (Qualifier)
Tyler
PRINT NAME
LO
COUNTY CERTIFICATION ER -
State of Florida, County of , I—LkC,
Thu foregoing instrument was signed
�before me this�dyay of
i 2012 by .J 04,-e� Y\'"
who is personally known _or has produced a
a entification.
SABRINA L. BLAC
Print Name of Notary Public
#FF 195337 ; Q,
Pu61deUihd�
:
i
PERMIT# / '� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`off • have agreed to be
mpany WaiLeAndividual Name) `
the K CA Sub -contractor for ��-� � � S�� C�/y�v _T_r1 t C
(Type of Trade ` (Primary Contractor)
For the project located at S
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.
Mal
CONTRA( DR SIGNATURE (Qualifier)
PRIlVT NAME
C C -&0(57531
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me_ tthhiisj day of
2o�jby7T�it'�
who is personally known _S�16r has produced a
as identification.
,/__'�, STAMP
Signature of Notary P lic
I
Revised 11/16/2016
X< L
SUB -CONTRACTOR SIGNA (Qualifier)
K/ 1
PRINT NANm
Q301C
COUNTY CERTIFICATION N`UIj'IBER
State of Florida, County of 3 LL
The foregoin instrument was sign befor me this day of
C - 2o9D by
who is personally known r has produced a
as identification.
STAMP
Sig a e of Notary Public e
r aG KATHY K, GATES
Public $ Notary Public, State of Flor'*
Commission# GG 104018
14v ^"'Om• A`"'^^ July 17 2021
Name of Notary Public E '*�1pjZ
�Pp\N /� m�
'p�1SS10 FS9
•;,V�e�ber is E/o�.•
a o : #FF 936050
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