HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # % �b 3 ` 00 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT '
SUB -CONTRACTOR AGREEMENT APR 16 2018
ST. Lucie County, Permitting
Acko /1/ '6EL O VIIE.S have agreed to be
(Company Name/Individual Name)
the -dr ec-616c,LC Sub -contractor for kCye0/V gECSje VCS
(Type of Trade) (Primary Contractor) /
For the project located at /70/ wocpWii?Rb DR Pr P1 Ek CE 9� b
(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��&
CORTRACtOft SIGNATURE (Qualifier)
A'e-90AI & LC AMC
PRINT NAME
COUNTY CER IFICATION NUMBER
State of Florida, County of 1 luay
The regoing instrument was signed before me this day of
2l by %� f/
who is personally known _or has produced a
as identification.
STAMP
Signs ure of otary Public
Print Name of Notary Public
KAREN S. NIELSEN
Commission k FF 115637
My Commission Expires
June 1 2. '201 8
a —
Revised 11/16/2016
5�w
SUB -CONTRA SIGNATURE (Qualifier)
W6', IAJ ,BE6r,, 7JV6-S
PRINT NAME
/rJ/,e/�Y // /"Vdt �
COUNTY CERTIFICtjGrIO.e BER
State of Florida, County of G
The f egoing instrument was signed bQ re me this _ day of
20 f, by C� 4e
who is personally known _or has produced a 621- Ini,
as identification.
n�1 STAMP
Sig ature of NotaryPublic
Print Name of Notary Public
„aw,pr.
,a.
CoS. NIELS
EN = _= son �A lion !t FF 1 1563
y com rssion Expires,
e 12, 2018
PERMIT# I /� j �bo�� I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT APR 16 i U i'3
SUB -CONTRACTOR AGREEMENT
CANNED ST. Lucie County, Permittlrya �
8H
Sfludz 0auply
eE,>ro R/ ,6eE 5M1/CS have agreed to be
(Company Name/Individual Name)
the 1,9iv414 0 Sub -contractor for ec'eo /!/ AT�Vrs
(Type of de) (Primary Contractor)
For the project located at 1701 WWDG IlED 'a9 , ICK )�', CRCC �C3 N9!Z
(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.
CO RA OR SIGNATURE (Qualifier)
PRINT NAME
COON CERTIF CATION , ER
State of Florida, County of /C
Th foregoing instrument was signed b fore me this _L day of
I 20LZ by o� P/9ya ps
who is personally known _or has produced a F 1— 0 L
as identification.
�— STAMP
S' afirre of Notary Public
Name of Notary Public
s"gy'l0"' KAREN S. NIELSEN
Commission 1« FF 115637
s,= My Commission Expires
OFF�, June 12, 2018
nnnn"
Revised 11/16/2016
SUB -CONTRACTOR IG ATURE (Qualifier)
PRINT NAME
y
COUNTY CERTIFIC ON ER
State of Florida, County of
The f regoing instrument was signed be ore me this day of
20l, /
who is personally known _or has produced a L
as identification.
MP
S' nature of otary Public
3
Print Name of Notary Public
;_ KARE
Commi N S. NIEISE
j �;< MYCoryim�s� FF1756337
June 12 2p Pires
8