HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
i u � 5 ` f zX have agreed to be
(Company Na a/Individual Na e)
the \V Sub -contractor for 9p \-"\I Gzfe
(Type of Trade) (Primary Contra tor)
r
For t e project located at %`kSD Q'k Oe, by\<,
(Project Street Address or Property Tax ID #)
It is uj derstood that, if there is any change of status regarding our participation with the above mentioned
proje , the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing f a Change of Sub -contractor notice.
State of
Theeforte
—4o
who is pi
as identi
1gnatur
Print Na
Revised
(Qualifier)
'IFICATION NUMBER
County of_4�& Uri C'
ig instrument was signed before me this day of
, 201%, by 7-6 r
nally known�D_or has produced a
of Notary Public
�n5
of Notary Pu
STAMP
i, 14, Notary Public State of Florida
A Thomasina Bowins
��y, • My Commission GG 201733
1/16/2016 'aa Expires 03/29/2022
7�% C
SUB -CONTRACT GNATU E (Qualifier)
Lrr
PRINT NAME
aI'3::� (
COUNTY CERTIFICATION NUMBER
State of Florida, County of C
A,LVCI e
The foregoing instrument was signed before me this 3 day of
V , 20, f&, by TC rT V �X
who is personally known Xor has produced a
as identification. y
STAMP
Signature of Notary Public
Print Name of Notary Public
k Notary Public State of FloridaA Thomasina Bowins• My Commission GG 201733E?d Expires 03/29/2022
15
# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
11(�O' Zert lza�-'tlli
have agreed to be
(Company Name/Individual Name) n
the I L c c7relc A L Sub -contractor for ! `o2ck 6 ( re e cv—
(Type of Trade) (Primary Cont(actor)
For th project located at 'I LQ G 6 P k" r\Q. K(nr-t k, r) L (x p JZ,
(Project Street Address or Property Tax ED #)
It is u '' erstood 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 a Change of Sub -contractor notice.
�C Z /
CONTRACCTTO GNATURI (Qualifier) SUB; C R SIGNATURE (Qualifier)
PRINT N ME PRINT NAME
COUNTI CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of F orida, County of _ � , �U C\ C- State of Florida, County of
The foreg ling instrument was signed
+ before me this� 3 day of The foregoing instrument was signed before me this (� day of
V ,20 9,by l CVY� \ 7( o ,20E�,by, a ltf f �\�V`(,
who is pe ovally known�or has produced a who is personally known _or has produced a
as identifi ation. as identification.
STAMP STAMP
Signature' f Notary Public Signature of Notary Public
I i
1�6ly��S I 1\
Print Na a of Notary Public Print Name of Notary Public
^kr� Notary Public State of Florida ��y
� Notary Public State of Florida
A Thomasina Bowins A Thomasina_ Bowins
y, • My Commission GG 201733 • My Commission GG 201733
�lapd� Expires 03/29/2022 Expires 03/29/2022
Revised It 16/2016
Je