Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE:
lk.0
.PLANNING & DEVELOPMENT SERVICES.
Building & Code Compliance .Division
ICOUNTY �ba�
--- -0 BUILDING'PERMIT
SUB -CONTRACTOR AGREEMENT
��LUCI2�©L
Gl. hJ l e 5 ► S f l�Y'Y1�� l I(1 have agreed. to be -
(Company Name/individual Name)
the-VWNV�t rat f= Sub -contractor. for ' f bbM i u f , . Q�lp IllC. VIC
(Type.ofTrade) . (Primary Contractor)
For the project located at ?'�1 Ls �`S t:hN `r 1 t' :i� "� n *< .y TCA 4
.(Project Street Address or Property Tax 1D #)
It is understood;. that;if there is any change of status regarding our participation witK 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=conttactor notice. .
CONTRACTOR SIGNATURE (Qualifier) SUB-CON"YRACTO.R SIGNATURE (Qualifier) .
PRINT NAME -,
PRINT NAME .
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER.
State of Florida: County.or. 1'" �iC-^
State of Florida, County of 1LUCt C
The foregoing instrument was signed before me thisyduy of
The roivgoing instri uient.vies signed Me. this
day of
20�O,by /V
rrbefore
,E.by R017_�4_.L
�`j .r 201
lA ofti •
�
who is personally known or ba roduced a
who Is personally known J—O or has produced a
as idrptificallon. ;
'
as id Ilication.
LISA LESTER
II. STAMP
�j
ENO • . PUBLIC:.
STATE OF FLORIDA '
Signature or Notary Public
gnature of Notary Public . a
Comm#,GG127647
!�/ i�.�1T21 � %�
/ j�
(,ice;_. e ,�j=1c (C e io�e Expires 7124/2021'
Print Name o_f tiottog.P blit
Print Name of Notary Public
II
_,.��;,. !..,. MARGARITA PUN i E
BYE
ERMSUE DATE;'
IT. #
All
C ES"
Build jlg* Co4e'ilqomplfgii6 Divison.
- - - ------ -
'JJRUUELLL
VJ
VV,,2ED
GREEMENT3T.Lu�feC 04-18,
m-
tm-
have, ggrqpd,tojjd.,
(PdaWy. Connackoz)`-
It �s` understood that, if
CM -is - ,change of#4tu reg' Ing.our,
mentioned;
prQjqq4-.tke,Builtdlnand bddd.Ae""gulatt04-..pj of St.;
omt
ywill be -a advised -PJ4��tq,th
-e
:':filing of I pj
"Psub-7contid. contractor ice.
NATURF
Pq-'ST CTORSIG
:$WClDNMIAcroRsi
p k!n �'-Nffl
'CaU!qVx*"T
COUNM c X
County
do of
is pnrsou Ity o r h
;. STJVve
�S'T)
-NR6kqr-XqWq, Pubffc
"MT
PERMIT41
ISSUE DATE,
PLAkNNJNG-&. DEVVEL
OPMENTSERVICES
BOtdxmg" Co eCom Hatt&Di isto'n.,
REC
BlUftbNdPERNtrr EIVED
8-CONm4qrdk AdPXE.MFNi
JUL 0- 5. '201E
Atom clindividuatNarn
pany Nam
j
-.$ub,coilt]'ctorhoi 7 E
jTYPC 017TM46)
(Primacy coitfirt
For the pr6 (k
j mf located tit, LA,
'ST: Lode'Cdunty, Per 'I in
i?w7
bAve agrded,to be,
st�- s re
it i' tindcrs6odih4lfihc&-` any gar, ng,'gurparticip4tt--olli,,-.%-,"Ith'.t,h,e.abdv.e,m,en.ti.oncd-:
*q Aiiildin -,,-d
PX9 g.an -,qb.oc RegWinlon 151'Vision or§f'.'Lu
dic-CbmityWill bc-ad_ visdd�purguafit't6 the
filing 6f
CO,N-rRACTORSGN-ATU!Il(Qualiflo) 'Alt SUB-COI�MMCWR SIGN
Om
il C— -
-b
qi
PRIN-r-NAME
COUNTY ClqMFICATION NUMBER
:COLI&N-r,Y'CERTtFICATLO,NriUNIBER,,
S, fieof-F.16-ridiic,bun
-----------
CAe
ZT. Incip"P! W" signed W
gaid before m¢ t&3
it dZilly Wl �,2 0j by GA
pr
who is ptrsa or liar
kift�r
Pro
STA51P
V 6 ';i kl*PliNi
Nohry
publit siato cl,N*
ff 217015
FlAn'lolls
kPDX0 mw�
mid ftfx
. . . . . . -----
al, 114-� 1:11%
Wt.
4U
A4
PERMIT;#: ISSUE DATE:, j=
r �PLA:NNING & DEVE�.OPMEIVT' SEIVICES
Bulldi &:Code Compliance D!ivzsion:
1BUILDiNG PERMIT°'
< gUB-CONTRACTOR AGPtEEME�NT`-
�u
ave agreed to be'
(Company Name/Indlr+adual Name.
(Type ofTrade)` ,(Rnmary;Contractiar) _
For the pr©;jeer located at -. C `; bsQ"�hi. '�3�:
Qjecf°Sfreet.Address,or,Pr6p (P,reeztyfiaX ID #)` .. 4It s understood tha�;lf there is anyxchange of status regarding our Participation wEthfiihe aUove"menttoned
pro}eel the Building.and Coda Regulation Division of St Lucie County w111 be advrsed piirsnanti to the <<
_
filmgof a Change of Sub-confractorxnotice; j
, COi\"i_RACTOR:SIGNATURE(Q �SIIH-CoiV, RACTO G tQuatilier)' - i-
Osa,
4
COUNTX:CERTIFICATION NUMBER, COUNk TxlC>~RTIFICATIU;V,PIUri1BER
s
' r, Stafe of F_ Iorijda, County of __�U�� � StaEe hf Ftorida, County of
¢g g signctlbeforc T The far oau .Itistrnment wns " oy he faoig ing �hstrnii ent tvas;signed hePor� me`ttiIs, di of
2
who ispersotially.knowa,-. or h p dnced` w5o Is personally loawn q bus produced s 1 •" {{
i-
f
esldetitifica " .t Y 2Widentitiwtiow.
STAMP?
SlgnaturC of Notary Ire ; 1 SignntuFe of Notaey Pub13c
r`
Printliaine of Notary-Pnbite i
i'
t,
kotitry Pi1TMIC W* Ot Flotki�
g r., Cotnm,44 iP iF 247Bt5
r
kly CcmwiE esdd 81.•tbtf)
' Revtsed,11I16f101C � -
.p