HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSB o8:23 WM
I
PERMIT_
ISSum DATE
RECEIVE,)
SEP 17 2018
9t!
gDepartmentcle County
PLANNING & BEVELOPM ENT SE1tV.ICES
Building & Code Compliance DIA51ou
89
BUIL DING PERMIT ViVS0
sU&CONTUCTOR AGREEMENT
i St Luc1e county
have agreed to be
(Coup y DimndImdividuat Nexro) L �G� 44g
the y �^ Sub -contractor for
►r the i project located at I
(project Stoat Address or Property Tax ID 9)
�I
is understood that, if there is Say change Of Statue regarding our participation with the above mentioned
�jeCt, the wilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
ling of a Change of Sub -contractor notice.
I � A
I I
Z,
COVN't"Y �7`�=�'%I�IPt`9 , � _ n GOUNTI► CRR'CI CATION ER
State otgtoslde. CountyeJ_ statc oMortde. Count—ir
'r gola tnetrumtat was ■ip before me thir-k-7—day of The foreplog IbslrutMnt Mpe alg712
rore mt tNL day a
I
Who h pw oeal4 n(Qor htn pr+odaced a _ who Is pr,aooatry known r nee produced a„
.d I"�/�) /i"" �/�r�� j� I
an ., UP004 Q , / "
STAMP
Print kgene of moiety Public
e�tpr PUQ��o SHERRI FEHLMAN
a ,�.....
[tevtsednlfrl�oi6 * Commission#W1871160
* Expires March 14, 2022
9TFOFe�oPc Bonded TkwBudgetNOWrswims
' I I•
prInt Name of Notary Pubuc
I
of v rOB�� SHERRI FEHLMAN
e ' ° Commission # GG 187160
�, Pc Expires March 14, 2022
9rFOFf�op BondediTwBudgetNotary$erviteS
RECEIVED
SEP I19
PERMIT W
ISSUE DATE
Permitting Depa
LugCo
----- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance�Division
it 4 3a .-
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENTA�
'0
UC j� cot,'17tJ/
have agreed to be
(C m6anv Name/Individual Name) /
the /1119 G, Sub -contractor for Z C/) G/nele-� 4LO
(Type of Trade) (Primary Contractor)
I Z�- - z z&S
For t e project located at
(Project Street Address or Property Tax ID #)
It is I nderstood that, if there is any change of status regarding our participation with the above mentioned
proje t, the wilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
i
filing Hof a Cihange of Sub -contractor notice.
SIGNATURE (Qualifier)
SUB -CONTRACTOR SIGNATURE (Qualifier)
/� 6: - ,
PRINT NAME
tment
rty
C�UNTY CERTIFICATION NUMBER COUNTY CERTIFICATION S 7E C .
State of Florida, County of State of Florida, County of %
The for (going instrument was signed before me this AQday of The foregoing instrumentt�wyas si d before me this ` D day of
�� V
who is IIII rsonally known or has produced a who is personally known r has produced a
tenfli ation. as dents ation.
STAMP STAMP
Si atu} a of Not�rV lie S' ature of Notary
I I "
I
` ' tag„Poe SHERRI FEHLMAN
commission # GG 187160
Revised 11 / 16/2016 __11 P`oQ Expire a March 1a ary Ose�
FOF f�0 bonded Tlw Budg
Print Name of Notary Public
otPa� Pue�,o SHERRI FEHLMAN
r ' commission # GG 187160
* * Expires March 14, 2022
A9 oFf�o�ot Bonded ThruBtdgetNotarYSenioes