HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTN
e%(r% i%AfitM,R t.
Lin
Q Ciniirta.
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
kra
(Commpany Name/Individual Name)
the L lc-m I tiQ= St
(Type of Trade)
For the project located at aG pxa"t. e
(Project Street Address or
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)
IA � 6-q-eat"'.
PRINT NAME
awnp,d 6u;ey'
COUNTY CERTIFVCATION BEIR
State of Florida, County of "j
The foregoing instrument was sign efore me this io day of
1H 201%by VU
PERMIT RECEIVED
R AGREEMENT
MAY 3 0 2018
ST. Lucie County, Permitting
have agreed to be
for P14U L, (6 Y °ljcd
(Primary Contractor)
Tax ID #)
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
who is personall own _or has produced a
as identifica ' n.
_ I �
STAMP
VignIrWoTRokary Publi
I
KAR
EN S. NIELSEN
Print Name of Notary Public =a _State of Florida -Notary; Public
Commission # GC, 207484
My Cornmission.Expires
°iin�` June 12, 20221
i
Revised 11/16/2016
MO4
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIF C TION NUMBER
State of Florida, County of
The foregoing instrumeYy
s signed me this day of
20//. ul_'A
who is personally known or has produced a
as identif tion.
STAMP
Sig ure of No ryPublic
P#B,7KAREN S. NIELSENej da-Notary PubPrint Name of Notary Pu iV °ion # GG.20748 f
s n Ex ires
mis io Pe 12, 2022
�nm,a
N
PERMIT #
PLANNING & DE
Building & C,
b-� -,P- O'LA_
(Company Name/Individual Name)
the E /'-car; ca,I
(Type of Trade)
For the project located at �
ISSUE DATE
.,OPMENT SERVICES
Compliance Division
RECEIVED
PERMIT
R AGREEMENT MAY 3 0 2018
ST. Lucie County, Permitting
have agreed to be
for ':Pny u 6i�1�J
(Primary Contractor)
11e
(Project Street Address o' 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 Divisi
filing of a Change of Sub -contractor notice.
9
na
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME l
COUNTY CERTIFIC ION NUMBER
State of Florida, County of Q
The foregoing instrument was signed before me this %day of
C 20,Thy
who is perso ally known ✓ or has produced a ,T
as identification.
Signature of Notary Public
Name of Notary Public
Revised 11/16/2016
KAREN S. NIELS
State of Florida -Notary
Commission # GG 20
My Commission Exp
June 12, 2022
of St. Lucie County will be advised pursuant to the
pa,wa- &'el�-_
SUB -CONTRACTOR SIGNATURE (Qualifier)
l awI-t?CIA- �..K
PRINT NAME
COUNTY CERTIFI ATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20 , by
who is pe onally known /or hpr duced a
i
as identification.
Si atu a of otary Pub is
STAMP
: N Print Name of Notary Pub
ublic `O�PpYPUB` KAREN S. NIELSEN
484 ;r a��State of Florida -Notary Public
'es ; rc Commission # GG 207484
My Commission Expires
"�''"� June 12, 2012