HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANWO
BUILDING PERMIT BY
°---i SUB -CONTRACTOR AGREEMENT St Lurie County
.-T. Lucie 120 nty, Permittf i
9 i' j)T S cx R_ have agreed to be
(C pany Name/IndivtduahName) - Poc,
the OO I FJe(_ r':n Sub -contractor for �gilid 46z+0u3-�ow� IS Ti_-
(Type of Trade) (Primary Contractor)
For the project located at �33;o —(op 13
(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 of Sub -contractor notice.
CTOR SIGNATURE'(Qualifier)
C "+ IR-V-4- ci,t wisvt..s-�.J
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'eY• u-l.CG.e
The foregoing instrument was signed before me this I day of
�E�Y1-I ZA 20 I Y by L(ActR_
who is personally known or has produced a
as identification.
Signature of Notary Public
" Ia. I c"A (
Print Name of Notary Pu
Revised 11/16/2016
411bLi ii-izz
SU -CQ) TRACTOR IG ATURE•(Qualifier)
ft� i e�N OU-0 I prje
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of LtC C l
The foregoing instrument was signed before me this 1 day of
r-C-i_ 4Z t QLA4, 20 by tiM N h c`�IZt DC
who is personally known _or has produced a
as:identification.
Commission # GG 070973 gnature of Nota Pptalio,
Q;:�:.,w MONICACASANA
Expires June 8, 2021 :.. .? missio/n�#�G_
Bonded Ttwu Troy Fain Insurance 800.3857019��evYz�
rint Name of NdIaXAMW Bonded Thru Troy Fain
STAMP
Insurance 800.385.7019
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
F'79 01 r.018
kS�rn POUkS �L,C _ __ have agreed to be
(Company Name/Individual Name)
the ?U0 I Q(UWl b i no, Sub -contractor for (, i q Ui d AA C tern pOU I S -Znc .
(Type of Trade) (Primary Contractor)
For the project located at 33,2 1 - �3 - m572 - 000 - 9
(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.
COj NACTOIITi3RE (Qualifier)
r)McA r 62 V 2 vnc�'q
P T NAME
z of Florida, County of TJ LU
foregoing instrument
was signed before
me this �/�� day of
', 201 �, by U 1 Y V�71/i �, I�L,�
is personally ]known \-Lor has produced a
Public
Name of Notary
Revised 11/16/2016
; ERICKA HERNA
_ ••= MY C~ION 0 G
asp..• EXPIRES September
SUB -CONTRACTOR SIGNATURE (Qualifier)
CC ► (-15-7 (-og
COUNTY CERTIFICATION /r
N�UME
State of Florida, County of PA 1
The foregoing instrument was signed before me this ill day
Li� 20L, by nMr
who is personally known or has produced a
/11�
A` ; ERICKA HERNAN
•• •' MY � WISSION * GG!
of Nota _ ublic ,_ , . EXPIRES September 2E