The URL can be used to link to this page

Home My WebLink AboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE 11 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Com any Nam ndivrdizat Na e) the % (' C 4 r 1 C Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at tProject treet diire or Propert� 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. Q--ONT i©RTSIGNATURE (Qualifier) PRIN C�NhM COUNTY C RTIFICATION NUMBER State of Florida, County of (/ The foregoing instrument was signed before me this day of 2ofgby 4V t4 who is personally known _or has produced'a, . —4 C_ as identification. STAMP Signature of y ary Public Print Name of Py Jaryftb��ic��) AUDREY B. HUMPHREY ME COMM1 SMarch 6114772 Nola PubtioUnd01whus '�'••...•o�� BondedThN 7 Revised 11/16/2016flF,h. SUB,' Tp , RAMC �QR SIGNATURE (Qualifier) :Z'IiINT N' UY 1 COUNTY ERTIFICATION NUMBER State of Florida, County ofs The foregoing instrument was signed before rap this dayof ,20,7,by�� 0�'��• who is personally known or has produced a , e• as identification. • �i�� .STAMP Signature of Notaro ublic Print Name of Not, ry PubTic �y EM:A: DREYB.HUMPHREY AMMISSION # FF 174772 PIRES: March 6, 2019 Thru Notary Public Underwriters PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name MJjWLt%ival ame! the /W ec h a r2 i [',ice-- Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at / -13 k (Projector 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. COIL y+- O_ IGN UR/E (Qualifier) PRINT NAME TM COUNTY CERTIFICATIOaNUMBE State of Florida, County o(/ Ult— The foregoing instrument was signed before me this/d�ay�ofy� 20IVby �% V '✓✓� who is personally known _or has produced a as identification. TAMP WAn Signature of 4icad Print Name ofW5tary Publi�r� AUDREY B. HUMPHBEY �`i` EXPIRESSMarch6 20t92 dC''• Bonded Thru Notary PUNK Und"w 4'ts Revised 11/16/2016Rf� B000, iRy'", tOR SIGMWU, RE (, u-lifier). PIiIlV I NAME, CO CERTIFICATION NUMBER State of Florida, County of�/ The foregoing instrument was signed before me this 1:�_ day of 20_11 by who is personally known _or has produced a �_ t f . as identification. Signature of Notary Pu is a� Val Print Name of Notary Publi ' `yNY'Py AUDREY B. HUMPHREY *` *` EESa 1XIRSMrch 6019 Tbu Notary ryPubkUdermIte Bondedre n, PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/Itt2liuiduai�Name� the r I I cr • Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at (Project Propet+Ey 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. % T-16WTOR SIGNATURE (Qualifier) �gggd I Ore. PRIN=TANAMlW N14- COI NTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this • day of 20LZ by who is personally known _or has produced a C as identification. TAMP Sign a of otary u lie ,AV� Q�rn�� Print Name of Notaryyublic P AUDREYB FNMPHR �2 March 6 2019 Bonded Th., NelaryPubfr U ndenallers Revised 11/16/2016'R6rf'` S� GWi)ZKGI OR SIG U (Qualifier) COUNTY CERTIFICATION NUMBER State of Florida, County o �- The foregoing instrument was signed before me this day of 20 f, by DAY* who is personally known or has produced a . • 1 L,fiy C as identification. TAMP Signature of Notary V is Print ame of Notary Public AUDREY B. HUMPHREY :R MY COMMISSION # FF 174772 EXPIRES: March 6, 2019 Bonded Thru Notary Public Underwriters