HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT#
bidernii tPlE DATE
PLANNING & DEVELOPMENT SERVICES
Building * Code Compliance Division
(Company Name/Individual Name)
the
(Type of Trade) U
For the project located at q2 1-7 LA\ 5 -
(Project Street
PERMIT
R AGREEMENT
have agreed to be
Sub -contractor. for
(Primary Contractor) T
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
filing of a Change of Sub -contractor
of St. Lucie County will be advised pursuant to the
C
ier) SUB -CONTRACTOR SIGNATURE (Qual%fier)
PRINT NAME
�0 36(03lb
COUNTY CERTIFICATIO NUMBER
State of Florida, County of 0�
The foregoing instrument was signed before me this L"I 1 day of
G h 20_ �q, by rJr Yln G�Cf \ 1
i
Who i personally mmown or has produced a !
as identification.
i
STAMP
SiJlure of Notary Public
C1751-1 a lC-UJ-
Pn"Iht Name of Notary Public
i4+ ^k Notary Public State of Florida
. Victoria Lam
Revised ll/16/2016 %a di xpUis 03/19/202nilssion 2 197151
i
i
I
COUNTY CERTIFICATION NUMBER
State of Florida, County of PoN
The foregoing instrument was signed before me this 2� day of
ffty- -\ 9 20-[9— by ,'9ArA r n(Y1�r l l
who i personally (mown or has produced a
as identification.
/ /"" STAMP
SI&dfiWe of Wiary Public
1/ ddf I c& huJ S
Print Name of Notary Public
Notary Public State of Florida
Victoria Laws
%cl1aa My Commisslon GG 197151
d Sxplres 03/15/2022
the
(Type of
PLANNING & DEVELOPMENT SERVICES
Building &, Code Compliance Division
Name/Individual Name)
For the project located at
PERMIT
R AGREEMENT
have agreed to be
Sub -contractor for 94k U,3 ( t(if
(Primary Contractor)
(Project Street Address or
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation
filing of a Change of Sub -contractor
�G
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
State of Florida, County of. P6 I K
The foregoing instrument was signed before me this � dayof
J 5lA fCK 20A by r� M CA 9 I
who is personally known or has produced a I
of St. Lucie County will be advised pursuant to the
S RACTOOR SI A (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4 1 uc
The foregoing instrument was sig ed before me this 2 day of
,20 ) y
who is personally known or has produced a
as identifi tion.
STAMP (11/�
Sig1nat/ure of Notary Public
Print Name of Notary Public
=off Notary Public State of Florida
Victoria Laws
Revised 11/16/2016� MY Commission GG 197151
pip Expires 03/15/2022
=off Notary Public State of Florida
Victoria Laws
c MY Commission GG 197151
W f t 5pires 03/15/2022
STAMP
PERMIT #
PLANNING & D
Building & I
A-,Y- , -- s s oul �- gar Cot
(Company Name/Individual Name)
the WLEGkan. G of L
(Type of Trade)
For the project located at "1) Z_�'k [ '
(Protect Street
It is understood that, if there is any change of
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
�,
CONTRACTOR SIGNATURE (Qualifier)
H I / los6q 60
COUNTY CERTIFICATION NUMBER
State of Florida, County of I i�
The foregoing instrument was signed before me this day
so 18 by Lj�Q ran M Q
w4 tp:.r.s: �Uykn.or hasproduced a
as identifica n.
,.—, , i, - _,; � o 471 w. - �
Sigua of Notary Public
Y"_Tnic Laws
P nt Natifte of otary Public
ip Notary Public State of FloridaVictoria Laws
y+y, ; My Commission GG 197151
Revised 11/16i2 6 "aa Expires 03/15/2022
IISSUE DATE I
ELOPMENT SERVICES
le Compliance Division
ING PERMIT
CTOR AGREEMENT
c'on c jr a
have agreed to be
for
(Primary Contractor)
omp. o vq q&
or Property Tax ID #)
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB -CONTRACTOR SIGNATURE (Qualifier)
V 2 V cyt
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Connty of P d t It,
q
The foregoing instrument was signed before me this 7-( day of
tKal-CA .2OAby, , Ike —VIA 5,h. "i-/1
who is personalty Imown 'Vor has produced a
as identification. �,�% -
A "" ` STAMP
Signature of Notary Public
d n/uei M W c 16 �� S
Print Name of Notary Public
.;� M. WILLIAMS
() 's._
Notary Public, State of Florida
My Comm.
expires July 6. 2020
Commission Number GG9022