HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
DING & D
wilding & I
stLu Lucie
d�
(Company Name/Individual Name)
the ijQ l -hq
(Type of Trade),
For the project located at
(Project Street Address
It is understood that, if there is any change of
project, the Building and Code Regulation Divisi
filing of a Change of Sub:contractor notice.
J"'� k�'�
SIGNATURE (Qualifier)
PRINT
COUNTY CERTIFICATION NUMBER
C
State of Florida, County ofieA Y-�
The foregoing instrument was signed before me this day of
20,to�r
who is personally known has produced a
as id en ification.
S�
Si a re of Notary Public
J
L- (�
Print Name of Notary Public
�►�Y KRISTINA L GRUNZ
f
MY COMMISSION # GG
EXPIRES January 18,
Revised 11/16/2016
ISSUE DATE
LOPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT
have agreed to be
T
for Y1 l C7(7 I �7 IQ Y1.S�-JYI
(Primary Contractor)
Tax ID #)
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB -CONTRACT IG ATURE (Qualifier)
PRINT NAME U
COUNTY CERTIFICATION NUMBER
�n
State of Florida, County of t 4 n v-6,4�
The foregoing instrument was signed before me this day of
20_L'S/by �
who is personally known _or has produced a
as iaen tcation.
STAMP
M.
Print Name of Notary Public
_ ;L
KRISTINA L GRUNZWEIG
MY COMMISSION # GG064087
'-�', EXPIRES January 18, 2021
PERMIT # �'� � .- ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1,;!, Building & Code Compliance Division RecerveD
Company Name/Individual Name) 1
the
(Type of Trade)
For the project- located at t
(Proiect Street Addri
It is understood that, if there is any change of
project, the Building and Code Regulation Divi
filing of a Change of Sub -contractor notice,
CONTRACTO S)[GNATURP, (Qualifier)
aV W r(A
PRINT NAM
14 -4,3+
COUNTY CERTIFICATION Nilb' A81t
State of Florida, County of
The foregoing instrument was sig//n�1ed��betbre me[thi day of
20Aby l /trVlA44,j�{�- ,W 11A /f �SK�J•
o is persona y known oY has prod0ed a `
as ficat(0n.
STAIV
�iatjra of Notary 1Public
-(ram
Print Name of NotaryPublic
KRISTINA 1. GRUNZWEI(
MY COMpmeaWN # Geowl
EXPIRES Januaq 18, �1
Revised ll/16/2016
PERMIT
IT
R AGREEMENT
MAY .2 4 7018
Permitting Department
St. Lucfe Court,,
have agreed to be
for
(PriwaYy Contractor)
Li'
or Property Tax DD
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
t�� 0*�-V4 �Ja4lj��
SUB -CONY OR SIGNATUn (Qualifier)
0� rLr,,�, k.Whbure)
PRINT NA.MF.+J —
COUNTY CERT) ICATION NUMBER cc}
State of Florida, County of � `-'e"'4A
The foregoing Instrument was signed
before
�me�thiis 12 dday of
�
i�ALIV201%/b �'v� lilt h'1 /LT �/ W lLt cif ✓ ` ��
�D Is per90ttaliy [snOwn r has produced a
I KAISTINA 6 GRUNZINEIG
MY COMMISSION # GOOM137
EXPIRES January 18. 2021