HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
d, a
ISSUE DATE
PLANNING & I
Building &
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(Company Name/Individual Name)
the % Vyt ak t x c, a..
(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.
W /J7 7,
Co SIGNAT (Qualifier)
PRINT NAME
o-w h< r, \ % o'\ \ I -Q- �--
COUNfY CERTMCA ION NUMBER
State of Florida, County ofsr e
The foregoing instrument was signed before me this day of
,sdd by Goiki3S
who is personally known or has produced a F- L 1D L
i
as identification
STAMI
Signature of Notary ftbfW
eIOor11 V�0. � � y, �..Yk DEANNAMARIE W45
Print Name of Notary PubliC 0N # GG 0
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EXPIRES: Derember 1S,M
�I %6 �0' Bonded fhru fdot2ry Public Un
Revised 111162016
MLOPMENT SERVICES
Ide Compliance Division
DING PERMIT
kCTOR AGREEMENT
RECEIVED
mx( � 9 2018
ST. Lucie County, Permitting
contractor for
(Primary Contractor)
Property Tax ID #)
SCANku
BY
St p ude Cminti
have agreed to be
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to. the
COUNTY CERTIFICATION NUMBER
State of Florida, County ofs'!t' L-V e 1 -k
The foregoing instrument was signed before me thQ,& day of
,20�,by N -% I-,
who is personify known or has produced a V L
as identification.
�Mllw
�e� Kok DEANNA MARIE GIVENS
yV ' „ \:V @Uff�;�r—"'�IISS10N # GG 022773
t Name of`NotarirPubfic EXPIRES: Dccember 16, 2v, !
Bonded Thru Notary R !,, t)rxie . -:.::
STAMP '
PERMIT# I , a J I I ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
D f
BUILDING PERMIT
SUB-CONT"CTOR AGREEMENT
(Company Name/Individual Name)
the _ Sub.
(i ype of Trade)
For the project located at ,-Tkt«� A
(Project Street Address or
/heave agreed to be
for d �1��4fv, Lc� x 4-1 �S
(Primary Contractor)
Tax ID #)
rl Ty900
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 q St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
�fP,
Ow�n�r 1bu�tc�c�
COUNTY CERTIFICATION NUMBER
State of Florida, County of`s—!L "-I -9.
The foregoing instrument was signed before me thisaa day of
�V yo— . 20NA by 1-4"u, may++ ( J'C' S .!
who is personally known _or has produced a
as identification.
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
I rfl ;a ua c DEANNA MARIE GIVENS
MY C0MMISS%X&&022023 ,)
Signature of Notary P biic EXPiRES: Dacemb( 96, 2020 �' Signature of Notary Public
OF F�pP. Bondcd Thru Notary Public Underwrit6rs I
Print Name
Revised 11/16/2016
Print Name of Notary Public
STAMP
-.l
PERMIT# �'1 a� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
UILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the _
('i ype of Trade)
For the project located at
(Project Street
/have agreed to be
_ Sub -contractor for %tj��r�,, (_cc x
(Primary Contractor)
J
ir, ss or Property Tax ID #)
It is understood that, if there is any change of
project, the Building and Code Regulation Dil
filing of a Change of Sub -contractor notice.
ff
&.TURE (Q6alifi' !/
/1 i —
COUNTY CERTIFICATION NUMBER
State of Florida, County of5'�
The foregoing instrument was signed before me thisaa day of
5%2yNVM .203by 1`>>��%.1 O'C' -'irt 5
who is personally known _or has produced a �' L
as identification.
My com?"'Issq
Signature of Notary PqIblic x "= - RES: Ciao
Gondcd Thru Rotary
Print Name of Notary Public
Revised 11/16/2016
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
. 20_, by
who is personally (mown or has produced a
as identification.
GIVENS I#
*022023 1) STAMP
;r 16, 2020 J ` Signature of Notary Public
iic Ur.denvit ;
Print Name of Notary Public