HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe
For
It is
proj
i
filin
CON
PERMIT #. I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ividual. Name)
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for T4 4 `z % [ A
(PrQimary ontractor) .
project located at �) 3 31 6ye:L &J-, 1-b-vT f '&6e N—L 21 Z t
(Project Street.Address.or Property Tax ID #)
that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
of a Change of Sub -contractor notice.
State d'r Florida, Countyof tk_-UJ.Q11 C.J
e tolll egoing instrument was signed before me this
��, Iday of
24Z by 1�J"1 LSl% 6(
who b personally known or has produced a �L
as identification.
----i . w l . 1� J.•� 0CJ'—,�STAMI
Signam of Notary Public
of Notary P
YP. KAREN S. NIELSEN
s2° ���:Stato of Florida -Notary Public
_+ *= Commission # GG 207484
My Cornmission Expires
�� June 12, 2022
11/16/2016
ntiinpv�/ l uIl�►eY
COUNTY CERTnTCArON B,E'R 1/� c
State of Florida, County of :1. bia v
T e foregoing instrument wasaned1before me t4
M
'day of
20 by 1 �i 6e f
who is personally known _or Pas produced a
as identification.
STAMP
Signature of Notary —Public
Print Name --- --
�`iYp��'i� KAREN S. NIELSEN
State of Florida -Notary Public
-•"= Commission # GG 207484
My Commission Expires
June 12,,2022
# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Gil W have agreed to be
Company am /Ind_,yidua] Name / /
the k Sub -contractor for TO G' 01i ! ��
(T p �o Tad n (Primary ontractor) c�
For tl e project located at a 3 �J , &A�o 0� � I ;/f GP�W
_X l �y l
(Project Str Property Tax ID #)
It is 'riderstood that, if there is any change of status regarding our participation with the above mentioned
proje t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filin 11 of a Change of Sub -contractor notice.
State o Florida, County of tk' LUCI V
e foegoing instrument was signed before me this day of
211, by�� �ti �511 1 �fei
who is liersonally known _or has produced
as
11/16/2016
STAMP
Y
JhH1 - - - - - - - - - --
KAREN S. NIELSEN
z I f State of Florida -Notary Public
p= Commission # GG 207484
+, Z My Commission Expires
June 12, 2022
c oi np-r / 6 u d A
e�
COUNTY CERTWrCA ON BER c
State of Florida, County of wa V
T e foregoing instrument wasned1before me th' day of
201_ by 1 t
who is personally known _or as produced a U
as identification. " i
STAMP
Signature of Notary ubhc
Print Name
KAREN S. NIED
1pP 4 4
='�=State of Florida-Not
•- Commission # GGMy Commission June 12, 20