HomeMy WebLinkAboutSUB-CONTRACTOR AGRREMENTPERMIT #
PLANNING & D
Building & I
ISSUE DATE
,OPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT SCANNED
By
St UrIP Cef f" l/
have agreed to be
(Company Name/Individual Name)
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the Mumh,�1
Sub -contractor for � LaA _�iJ r(P, 1 LC
(Type of Trades e)
(Primary Contractor)
For the project located at HOL� _LA.5"
erg I 4)y (. U
(Project Street Address or Property Tax ID #)
it 1s understood that, if there is any ange of status regarding our participation with the above mentioned
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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.
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CO CTOR SIGNAT RE Qualifier)
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SUB -CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME /
PRINT NAME
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COUNTY CERTIFICATION NUMBER
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COUNTY CERTIFICATION NUMBER
State of Florida, County of
State of Florida, County of Po
The foregoing instrument was signed before me this L- 1 day of
The foregoing instrument was signed before me this Z-1 day of
nn G 20 by SK L r6p n) C CC
% (f G� . 20J9, by c'�JlrA M 1 ff_Q `
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who i personally known or has produced a
who i personally !mown or has produced a
as identification.
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as identification.
't 14d: STAMP STAMP
Si ature of Notary Public
SidnafiVe o otary Public
iil 11 drn'i CA Ire
\/11col CA
Prr t Name of Notary Public
Print Name of Notary Public
Ntlt fy Public State of Florida
Vit:tOria LBWS
00 Notary.Public State of Florida
;�Victoria Laws
Revised 11/16/2016rA ®CQ�uas t My Commission GG 197151
Xa,W I xp!rea 03/15/2022
1
PERMIT # '. ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
► '
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
I
'd I 4 5 S qu l l- Ar COm o(c 4 (an [ `ell a( have agreed to be
(Company Name/Individual Name)
the (M. f_CGt.gg'C- off ' Sub -contractor for Sk6e(I 4 e fy\C
(Type of Trade) (Primary Contractor)
For the project located at go ° 3 m, h a oVI fig(� 12ime- 0, M M Z-d F I (5
(Project Street Address or Prdperty 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 noti
CONTRXCY01 SrGfqAT_M1"Q_Qir1er) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
LCLC a
COUNTYCERTIFICATIONNUMBER
State of Florida, County of i ([,�q
The foregoing Instrument was signed before me ihria 259 day of
�i1 \ 20igby )A cw, (AlaOs
who Is personally imowo or has produced ii
i
STAMP
°�►� Notary Public state o� � a
• Victoria Lava
v I yCcmmiseion Q01071e1
Revised 11 _ ExPl es 03/15/2022
14 U CA S ( c'A 1/1
PRINT NAME
COUNTY CERTIFICATION NU]M/MER
State of Florida, County of enQ 1/Pt
The fat egotnginstromwt wes aigncrndbefore me this day of
9CLL\ 20j by 1Z lGl -V (' )q
who is personalty Imown for has produced a
as entificatioa
STAMP
Signature of Notary Public
P�rmt Name of Notary Public
ANNA M. WILLIAMS
Nota,y Public, Stave of Florida
My comm. expires July 6. 2020
Commission Number GG9022
i
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code,' Compliance Division
ERMIT
AGREEMENT
ny-kyukkN � 0\ _'Vf C, I have agreed to be
(Company Name/Individual Name) . ' ,
the -e`. �'C(� Sub -contractor for C1J (� if
(Type of Trade) (Primary Contractor)
For the project located at V ( 6 L( 3 �kc5l r r� Pi erC2 r � i0 L6+ ) b
(Project Street Address orProperty'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
i
filing of a Change of Sub -contractor notice.
r
G
CONTRACTOR SIGNATURE (Qualifier)
c �kc vr�'1 I'llr- Cc I
PRINT NAME - - -
I+ ) /1C)3c;'G,o rt >
COUNTY CERTIFICATION NUMBER
State of Florida, County of K
The foregoing instrument was signedbeforeme this 1 day of
jJarCK l�
2018 by _VLrCn M<,CQ t
who is personally known or has produced a I _D—
STAMP
i
ja Notary Public State of Florid
- y. Victoria Laws
Revised 11/16/2016 +Q MY Commission GG 197151
qp pires 03/15/2022 1
7�zes�
SUB-C RA O,-PRINT t
126s-o2
COUNTY CERTIFICATION NUMBErrR,,
State of Florida, County of JLLC The foregoingsi
yinstrument was gn d before (me this 29 day of
20by J L_
who is personally known or has produced a
as identifleytion.
STAMP
Signature of Notary Public — (�
1A cry& �A 1a ulS
Print Name of Notary Public
OV Notary. Public State of Florida
�* Victoa Laws
My Commission GG 197151
�p Expires 03M512022