HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division I RECEIVED
Riffi+' BUILDING PERMIT MAR 0 5 2018
SUB -CONTRACTOR AGREEMENT
SCANNED ST, I,ecle Cai�nty, Porn
BY
SMLU CIPnniIo
PjAA OA L� �y1(�IVlft have agreed to be
(Company Name/Individual Name)
the lsYic►-14 Sub -contractor for
(Type of Trade)
For the project located at
q�03
(Primary Contractor)
(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-ctontractor notice.
CdNTRACT h SIGNATUk2E (Qua/lifter)
�R�r,,�� A
PRINT NAME
r ,p�
COUN YCERTIFIC ER ((rJ
State of Florida, County of
The foregoing instrument was sign before me this day of
20Kby '
who is personally known or has produced a L
/ / / __: /� /a
SUB -CO RACPOR GNATURE (Qualifier)
PRINT NAME
CO C IO BER
State of Florida, County of
The foregoing instrument was Sig efore me this ay of
aq
20-, by r
who is personally known _or has produced a
as identification. as identificatioi AA
IR, N .
TAMP ^ S
Signature o otary Public Signature of No ry Pu tic
Print Name of Notary Pu
I<AREN S. NIELSEN
# F
iss o F 115637
Comm i n
MY Commission Expires
12, 2018
June
OF
Revised Revised 11/16/2016
Print Name of Notary Public
*0.Poo I<AREN� SNIELS[N
Commission # FF 115637
ac My Commission Expires
June 12, 2018
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT MAR U 5 2018
SUB -CONTRACTOR AGREEMENT ST. Lucie County, PerMItting
PJAvdil �J �/ \ - have agreed to be
Company Name/Individual Name)
the eLki Sub -contractor for
(Type of Trade)
For the project located at
(Primary Contractor)
(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.
A-, 4,,MA6�J
PRINN//T����A��M�� E
COUNTY CERTIFIC IO
State of Florida, County of /0�
The foregoing instrument was signed b Le/me this ay✓of
r. 20_aby �1—
who is personally known _or has produced a � L
as identification.
Li
STAMP
Signature of Notary Publr
Print Name of Notary Public
KAREN S. NIELSEN
3= - Commission # FF 116637
- My Commission Expires
;; of 61I June 12, 2018
Revised 11/16/2016
S -Co OR SIGN URE (Qualifier)
P,; k A, tnl>a�ftil
PRINT NAME
IQ Luln
COUNTY CERTIFICATI
State of Florida, County of
The foregoing t strument was sign before me this y of
(✓ 20, by
who is personally known or has produced a L �L
as identification. ;
r STAMP
—"44
Signature of Notary Public
Print Name of Notary Public
`�o14RY P°A�n�' KAREN S. NIELSEN
Commission # FF 115637
My Commission Expires
June 12, 2018