HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSI,
03230
u MCI 7C JVv .w..
PERMITI)
{ ISSUE DATE
PLANNING & ]DEVELOPMENT SI&XVICES
S Building & Code Compliance Divislon
s �
]B UIL DING PERMIT
sumoNTRA,CI'OR AGREEMENT
P.4�ak
nv Na iWindivitival Nerve)
the
For th 'project located at
Sub-coutractor for
SCANNED
5 1�9
have agreed to be
nt,t-j '449A,
Coubma drj I
It is understood that, if there is any chas8c of statue fegarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pumulint to the
filing of a Change of Sub -contractor notice.
I
COHTRht� Ifoe 6tGNA RE �ao1{nor) s RE (Quail9tet<1
F NAW P "L T NAKE
COiiNTV CER79P'ICAT10 N1MHER GOUNTY CERTIFICATION R ^
State of Ptostds. County os ��` 6tetc arFlorlda. County or ,
Thetoaotag Innmnt wat al
Tbotforegoing UprumtatWes si.nefore me tbb y;7 dayognedrore me tb
8��-1-4l�gr
;
4
who h pI n0naW ]mowj4,or hn p►vdnmed a who Is paaonally unow ea pro3uced o -
i
into Non.
diTA STAMP
�„_� ..• - 6 a of Notary c
Pript Nt— of Notaryy Publ
RevlscI ]1�]trl2oit] ruel
SHERRI FEHLMAN
ie��� c
Commission # GG 187160
* *
04',
Ny�OFWQ
Expires March 14, 2022
Bonded Th'UBW9d80WYSeM=
prMt Name of Notary Public
SHERRI FEHLMAN
c Commission # GG 187160
�9r \o� Expires March 14, 2022
o-IF.114 eaWedVn&49NN0t"$w4=
PERM # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SC BY ED
SUB -CONTRACTOR AGREEMENT ^ A R 900"�
I I /
have agreed to be
(C m ny Name/Individual Name)
th / i /AJ Gj Sub -contractor for Z e9
(Type of Trade) (Primary Contractor)
Fo the project located at Z4 /y 4=�cl—
(Project Street Address or Property Tax ID #)
II
It is understood that, if there is any change of status regarding our participation with the above mentioned
I
pr; ject, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
7T 7 RAC . R SIGNATURE. (Qualifier)
P NT NAME I
%1)
COUNTY CERTIFICATION NUMBEY
I
Sta is of Florida, County o
Th foregoing instrument was signed before me this ZZday of
whJlIlD is personally known as produced a
as!I nfl ation.l.
STAMP
of
Name
SUB -CONTRA TOR SIGNATURE (Qualifier)
4,23 .-% 'c
PRINT NAME
S-U q1
COUNTY CERTIFICATIONE� _
State of Florida, County of
The oregoing instrument was signA before me this L / day of
+20by _2
who is personally known'�;eor has produced a
asM7e_rfNota
STAMP
Si P 1
Print Name of Notary Public
o��Yp�ei, SHERRI FEHLMAN
CommLssion # GG 187160
SHERRI FEHLMAN P\oe Expires March 14, 2022
�
Commission # GG 187160 'koF Fro Banded rntu R ised I1/IG/2016 * * BudgettbtaryServices
N9r ee Expires March 14, 2022
' I FOF FLAP BOfldcd IIIf11 BY4Qft Motary Se+Yices
1J
,r
1J
,r