HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o c
{ BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SGANNED
BY
(Company Nameftdividual Name)
have agreed to be
the t.1 `c.. Sub -contractor for c - -
(Type of Trade) �l
(Primary Contractor)
For the project located at gip"'\ a 0 Q� Oc
(Project Street Address or Properly 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 -contractor notice.
IZX197_'�
'CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State ofFforida, County of
The foregoing instrument was signed before me th0a day of
'Md.1c-c � Zo.�►69 � 1�' ref ��ce`�'�' lr�
who is personally lmownlr has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
t,
STELLA M HUNTER
Notary Public -State of F;orica '
Commission a GG 281062
Revised 11/162016 •... rF.,;
My Comm. Expires Jar 23. 2023 •'`
Bonded through National Notary Assr.
SUB-CONTRACTSIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County of`�►�C.� t..
The foregoing instrument was signed before methisa a day of
VPc A rc � . 20 ft by
who is personally (mown t=l 6as produced a
as identification.
Signature of Notary Public STAMP
Punt Name of Notary Public
'G:•
STELLA M
Notary Public _ HUNTER
Florida
Commission it GG 8
281062
Expires
Jan 23, 2023
Bond d through ationalNotaryAssn.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Com any Name/Individual Name)
the c^�tl� �nCl
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for'RD\4c-�e v 4-g-
(Primary Contractor)
For the project located at
(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 -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 2k
The foregoing instrument was signed before me this 5 day of
alvn� .201 T�by Srr% Its
who is personally known` or has produced a
as identification.
C�� `' ` Q �-• Signature of Notary Public STAMP
Print Name of Notary Public
•'t�� STELLA M HUNTER
`_�' �� Notary Public - State of Florida
tea`' Commission # GG 281062
My Comm. Expires Jan 23, 2023
Revised 11/16/2016 Bonded through National Notary Assn.
I
SUB -CONTRACTOR SIGWAIR"ualifierf
PRINT NAME
C •- X %-k-C). � 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of f:Rlr k C.. -�
The foregoing instrument was signed before me this :r-
day of
75'.." .2015 by—�_ c'L�i-1yg1r.1 • r�
who is personalty known e*"or has produced a
as identification. �c��
��� �` � , k S' ,, t STAMP
Signature of Notary Public
Print Name of Notary Public
,o<ogn"niieG, STELLAM HUNTER
Notary Public - State of Florida
My Comm. Expires Jan 23, 2023
Bonded through National Notary Assn.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/In "I dual Name)
have agreed to be
the _ 1�11 Qh. t. Sub -contractor for Ar• 5—' `N�
(Type of Trade) (Primary Contractor)
For the project located at ti 4S, SZ�iq- _ `�@�g��jC - -11` �1'1
(Project Street Address or Properly 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 -contractor notice.
CONTRACTOR SIGNATURE (QmMer)
PRINT NAME
C� °LOt?.-I0�
COUNTY CERTIFICATION NXMWErR
State of Florida, County of \'o (Z.,'e—
The foregoing instrument was signed before me thidDa day of
MfWC)V'*- ,20\Bby \'k:;4"1;:)fi-'% SM.A�
who is personally !mown o has produced a
as identification.
!S o � �► -" STAMP
Signature of Notary Public
Print Name of Notary Public
Revised I1/162016
Notary ,. ; ,orida
r<'
062
MY Comm155x::res an 2t3, 2023
Border thr , ��; ,:,t,una? Notary Assn.
Q22w6y
sufcowkAcroit SIGNATURE (Qualifier)
PRINT
NOW
COUNTY CERTIFICATION NUMBER
State of Florida, County ofCl
The foregoing instrument was signed before me this day of
F`C1ca��c..201a by� ���
who is personally known has produced a
as identification.
_ V1 �t L�c.�.g� STAMP
Signature of NotaryPublic
Print Name of Notary Public
@Eza
LLA M HUNTERblic - State
of Florida
sion N GG 281062an
2
atonalires JNota3, 2023
ry Assn.