HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
BY
the
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
i
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
i
I
OO)s Llv C2g_NI? rEeiei w
(Company ame/Indivi aI Name)
1P I u rr.b I /U Q I Sub -contractor for
(Type of Trade) I
have agreed to be
Po o l s b y � k qg-
(Primary Contra tor)
For the project located at `A 5n SC'._ ny-Q- J'SL 5"A'A 5 _3
(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-contractorinotice.
I
� I
CONTRACTOR SIG �/RE (Qualifier
/�
PRINT NAME
a F3 71
COUNTY CERTIFICATION NUMBER
State of Florida, County of 14, Uck,
The foregoing instrument was signed before me this I v day of
20( ,, by TZ VJ �X
who is personally known _�,_or has produced a
as identification. 8 _ill STAMP
Signature of Notary Public
7
A' • 1--fi1r 1 ftAAa S\ nU) 1 l\s
Print Name of Notary Public
Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
Revised 11/16/2016 141v , Expires 03/29/2022
SU CONTRAC SIGNATURE (Qualifier)
/ r le $Z!/ LAJ I
PRINT NA
COUNTY CERTIFICATION NUMBER
State of Florida, County of , V V l e
The foregoing instrument was signed before me this L day of
ke, 20 ,by leiry WAX
who is personally known)(�_or has produced a
as identification. �j
�J C STAMP
Signature of Notary Public
Print Name of Notary Public
J
Notary Public State of Florida
A Thomasina Bowins
e My Commission GG 201733
�n Expires 03/22/2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
i
'avak Zl"Ltcellele, /160'i6er t
have agreed to be
(Company Name/Individual Name) I '
the 4�- C [eTrelc,4 L Sub -contractor for j oolS bsz gre e
(Type of Trade) (Primary Cont(actor)
For the project located at
(Project
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
i
filing of a Change of Sub -contractor notice.
CONTRACTOR NATUR Qualifier)
/er�y
PRINT NAME
a �'37r
COUNTY CERTIFICATION NUMBER
State of Florida, County of UV ( �
The foregoing instrument was signed before me this day of
20A, by
who is personally known-J_or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
�.f Notary Public State of. Florida
A Thomasina Bowins
My Commission GG 201733
Expires 03/29/2022
Revised 11/16/2016 IV
SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of \) (` \ c
The foregoing instrument was signed
before me this day of
20A, by 1 ( i r\/ \I\A 1'X
who is personally known�K_or has produced a
as identification.
STAMP
Signature of Notary Public G
Print Name of Notary Public
Notary Public State of Florida
A Thomasina Bowins
g d' My Commission GG 201733
Expires03129/2022
M