HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & I
Building &
T/vC
JCompan Name/Individual Name)
the L�M- T(6C
(Type of Trade)
For the project located at (ri 6 CJ
(Project Street Addri
It is understood that, if there is any change of sl
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
�✓In J/!i:;, rr��
ofooco
State of Florida, County of
The foregoing instrument was signed before me thOLa
26,by
who is personally known Ao has produced a
-JOPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT
SCANNED
BY
St Lucie Cou*
RECEIVED
APR 112018
�T, I.usi� CcuntY, Permitting
r have agreed to be J�
for tit l�`` r9�%����/�/ t/`f
(Primary ontractor)
%f C
tr Property Tax
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB-C TRACTOR IGNATURE (Qualifier)
PRINT NAME
FR 1301 Y-% Y
COUNTY CERTIFICATION NUMBER
State of Florida, County of
of The oing instrument was signed before me this day of
t 206 by r f)r1 6 f Ill a I C
who is personally knownr has produced a
STAMP
o
ry��.,, DANYEI ,TONES
t.; -
.' _ MY COMMISSION ItFFj 19690Z
P �° EXPIRES: June 12, 2019
Revised 11/16/20 Q gendedThruNolazYPubl'c,Undervrriten ?,,;,,,
STAMP
DANYEL JONES = _
*{ :+ MY COMMISSION # FF 198907'`
EXPIRES: June12,2019
n „ , Bonded Thni Notary Pul?dc Undenyiiters
PERMIT # I I qL9 Z (9 /_o q I I ISSUE. DATE
PLANNING & DEVELOPMENT SERVICES
Company Name/Individual Name) I %
the lvM h �/� SubLcontractor for &z6t�� &OC-`�icc
(Type of Trade) // , (Primary Contractor)
For the project located at fC l 0
(Project Street Address
Building & Codle Compliance Division
RECEIVE®
® BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT pUG � � ��'$
ST. L-ut:ie C-o'�I�i�j p�f`lihit�lfl�
Cam J !�' have agreed to be
It is understood that, if there is any change of stat
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualm
! i
o' 1v✓ i
P INT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this
, 20_, by
who is p sonally know _or has produced a
as identification.
kl
Si na ure o ota J lie
j
i�aA yr ! t / Gn a 5
Print Nan1dof Notary Public
Revised 11/16/2016
i
day ofl
i
Tax ID #)
s regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
)Oi�
SUB -CONTRACTOR SIGNATURE (Qua i r
C
PRINT NAME
ao^1 a3
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 2C_, by
who is Kersonally kno _or has produced a
as identification.
STAMP STAMP
� Signa u of Not< u 'c
Jo
Prm N e of otary Public
i
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MIM
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