HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT��? A I►�wi®F'R�int�
PERMIT # 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�Vak 4t_�ZZ4,eTIC /1i'06,-r
(Company Name/Individual Name)
the L C c7't2 /c'.,4 L
(Type of Trade) i1
For the project located at bo n
(Project Street Add;
have agreed to be
Sub -contractor for J�ooA- b v �l? e T Z c_v_
(Primary Cont(actor)
or Property TaA 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.
r
CONTRACTOVIIGNATURQualifler)
PRINT NAME
e3 _7 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of C
The foregoing instrument was signed before me this jL day of
AJMNf- ,201S,by V W %Y\
who is personally known ?� or has produced a
as identification.
,aiuW-0�fl --J*,NSTAMP
Signature of Notary Public
A7�,a mas;^-- PD0LQ'Ins
Print Name of Notary Public
l Notary Public State i Florida
A Thomasina Brnerins
My commission GG 201733
W.
Expires 03/29/2022
Revised l 6/Z
. // r e yy
COUNTY CERTIFICATION NUMBER
State of Florida, County of ' L '\ C t
The foregoing instrument was signed before me this day of
Jy Vte. , 2012,, by V V L<
who is personally knownor has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
L
ary Public Stateof Florida
hornasina Bowins
commission GG 201733
ires 03/29/2022
or
oil
PERMIT# i cu&?, ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e-,( ) q \W I X have agreed to be
(Company Nar4e/Individual Nattie) i v i
the J Sub -contractor for 9 o 6 '(
(Type of Trade) (Primary Contra tor)
For the project located at
(Project Street Address or Property Tex ID #)
?yql�
I
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.
r
i
CONTRACTOR TURE (Qualifier)
I
PRINT NAM
a3—�
COUNTY CERTIFICATION NUMBER
State of Florida, County of�, l�\�Cl e,
The foregoing instrument was signed before me this I+ day of
201A, by C C (\J Vi
who is personally known�40r has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
WV\91RE
State of Florida
a, BowinsRevised 11/16/2016on GG 201733
2022
l
SUB-CONTRACTO NATUR ualifier)
ccr
PRINT NAME
:&3___+(
COUNTY CERTIFICATION NUMBER
State of Florida, County of St L")6 e—
The foregoing instrument was signed before me this Vday of
Jv1(�2 ,zo1%,by Tery �r�}-,
who is personally known Xor has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
Notary Public State of Florida
A Thomasina Bowins
E#0
My Commission GG 201733 Expires 03/28/2022
15