HomeMy WebLinkAboutsub-contractor agreementCANNA
ISM
PERMIT# � r,611 46,UEDATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
PERMIT
R AGREEMENT
t w ae_ , have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade) U (Primary Contractor)
For the project located at J 1 5-3 L&5- i1 i erg , 3Z_
(Project Street[Address or Property Tax ID #)
It is understood that, if there is any chan 'e of status regarding our participation with the above mentioned
project, the Building and Code Regulati n Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
"Cy�'ALeo_u_
"K"
CONTRACTOR SIGNATURE (Qualifier) -
SUB -CONTRACTOR SIGNATURE (Qualifier)
MC_rG�
Eharrn
INT
PRT NAME
P
PRINT NAME c
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
State of Florida, County of :Do � I(
State of Florida, County of 0
The foregoing instrument was signed before met is2- 1 day of
Theforegoing instrument was signed before me this 2 I day of
G 20L by ,:�KC. _Po3I11 r n / (a \ 1
! y1 L.1,aGt . 20 8 by 9-)rA Mo 005 a `
Who i personally lmown or has produced al
who i personally lmown or has produced a
as identification.
J�Oo�_
as identification.
";�c 'e STAMP
STAMP
Si tore of Notary Public /
Si e o otary Public
�ad7f) a I MU-F-', i \Z1 ckm C'11' — 11aui
Prifit Name of Notary Public I Print Name of Notary Public
E,,dJP
Notary Public State ofFlorida VCtOflaLeWs =Nbtate or r4ondaMfCommssfonGG 197151 Revised ll/16/2016 E Aires 03/15/2022 n t 9? 15i
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I�rasrvr
PERMIT #
PLANNING & D
Building &
A-C f " s s av l Ey- (-
(Company NameAndividual Name)
the W f.GG1 gn c`G ct ( S b-ci
(Type of Trade)
For the project located at
Wn U
(Project Street
It is understood that, if there is any change of
project, the Building and Code Regulation I
filing of a Change of Sub -contractor notice.
CONTRACTOR SI�GNATURE�(Qu(alliflierr)'Q
LJ an,� �/ �
PRINT N
1+i7[cz�qoo
COUNT CERTIFICATION h7i
R
State of Florida, County of
The foregoing Instrument was signed before me this 2 dryayo
0L, by C�-�-t I
who
Revised 11116=16
has produced
ISSUE DATE
,OPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT
have agreed to be
c
for e, t ac
(Primary Contractor)
or ProDerty Tldx ID
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB -CONTRACTOR SIGNATURE (Qualifier)
(h CVeA c� G rl,K
PRINT NAME
C R, 1 (?-! r 0 3 Lc
COUNTY CERTIFICATION NUMBER
State of Florida, County of >� 0 ! �
The foregoing instrument was signed before me this il day of
Wl gtjy, , .2aAby tk eviil S ka/trt
who is personally (mown z"or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
ANNA M. WILLIAM
fj ': _
Notary Public, State of Florida
Comm
-expires Jul 6,
y 2020
1i. .r,
Commission Number GG9022