HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
I to I
PLANNMG. & DEVELOPMENT SERVICES.
Building JiCode Compliance Division
WELDING PERrWirr
sue-CONTRACTORAGRERMENTAPR 04-170418
SGANNEO
St Lucie County
W,4 rp-%Oj have agreed to be
(L;ompany NameringIvIlulu Name) %- I
the I L) M4&.t SO -contractor for L4 4dwovl- 6v ))('4/ K'� rw
ofTrade) (Mmm7lContracWr) -FZ��rWlf�7?
For the project located at rAOT le—',
(Project Streetff-Addrm or Propety "fax ID #)
It is understood that if there is any change of status regarding our participation
project, the Building and Code Regulation Division of St. Lucie County
filing, of a Change of Sub -contractor notice.
ti
CdCTOA SONATME(Qualiffer)
(—/, ra Ic I. Al�t%Q.6 , e��
PRI14T NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of QLIA V), emd- -
The foregoing ladn"mot was signed belbre me this q day of
rflarc)n �,Z@JkbyCQA9M1W— V)
Wbo Is perionally knows or has produced a _ f Q0 L_
as IdtfidwAdom.
Signature ofKataly ftblic
P STtFHANIE N EPSTEIN
Notary Public - state. Of Flofida
GOMMIsslon # FF 240832
F my comm. Expires Jun 16. 2019
!Icvi-.cd 11/1612016
the above motioned
pursuant to the
49 P_VQI� It
PRINT NAME
State of Florldih County of
The foregft imstramat wo signed before no this y or
ZOA'by
Wbo Is personally known or has produced a
as tdeaNlleatiaat.
qSTAMP
51"fare of Notary lFibwItt
"d
Prfut Nam arNotirv- pmbuk
FAM& mqmt,014
'W-W
� .I '*-lga),' —036-4
PLANNING
DIEVE OPMENT
Compliance Division
BUILDING PERMrr
SUS -CONTRACTOR AGREENUNT
(Company e/badividual �!' r ' V have agreed to be,
ti
thSub-contractor for 4,-w
(Type of Trade) U�
(Niutazy Contractor)
For the project located at
or Property Tax 10
It is understood that, if there is any change of Status regarding our participation with the above mentioned'
project, the Building and Code Reguiatiola Aivisioni of St. Lucie County will be advised pursuant to the
>rl ng of a Change of Sub -contractor notice.
CT�O JJT--u (QuallRer)
PR> T NAAW
COI YCERTIFICATIONNUAWER
State of Florida, County of
The Foregoing instrument was signed befoft ore this day of
20Jby,CQ0-OLVr, wppl(ey
who Is persouaft !mown or bas produced a _ 4?4-0t'--
WDAwrin
+w �a�
'7
Signatures of Notary Public
1 ^i'T[ , �",.'/'
vPY IU t l U ! ^[Jll e V
Print Name of Notary P0151k
i
t
COUNTY CEIMVICATION NUMBER
State of Florida, county or_ ,� �? GL
The foregoipg instrument was signed before me this day of
Rt-6 .zolgb,atDic�of C Gt�;1eS
who i® porsoaalty !mown or has produced a !eL T-�' L_
as idenuffeation.
STAMP
Sidra e o otary Public
Print Name of Notary p'ubllc
LAURA MANN
ppY ov
STEPHANIE N EPSTEIN ;i s a`�`+., Nbiary Public -Stale of Florida
Notary Public - State Of Florida ; " My Comm. Expires Apr 24, 2018
Revised 1111612016 Commission # FF 240832 °W Commission # FF 094692
9ondedThrough Natlona!Nota Msn.
My Comm• Expires Jun 16. 20i9