HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St Lucie County
,i
i-, �� Q c�✓t �plJa 1��� !l have agreed to be
(C any Name/Individual Name)
the z Sub -contractor for
(Type -of Trade) -*'(Primary Contractor)
F `'r the project located at
(Project Street Address or Property Tax ID #)
I
i
It is understood 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
filing of a Change of Sub -contractor notice.
C 1 RACTOR SIGNATURE (Qualifier)
it r�
�aa,-�� ✓e /J lac �
PRINT NAME
I
INTY CERTIFICATION 11
4R� f �°
of Florida, County of
c
foregoing instrument was sign 'fore me this day f /y
20 ly
is personally known r has produced a
of Notary
of Aotary Public
11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRIft NAME
COUNTY CERTIFICATION NUMBER ,
State of Florida, County of 3 -�C_A Q vI
The f 'going instrument was sign' before me this ` day f . `
zA
who is personally known L-l_or has produced a
as identification.
Notary Public State of Florida
Julie @sW
My Commission FF 163265
Expldili9V ► 91e _ _ -
4iig Public
°
MQ-,burg,
Print Name of Notary Public
h W P_cj Notary Public State of Florida
? �' Julie Bird
< My Commission FF 163265
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES T
Building & Code Compliance Division RECEIVED
BUILDING PERMIT JAN 1 1 2019
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
have agreed to be
(Company Name/Individual Name)
Sub-contractor for��l�l�l
(Type of Trade) (Primary Contractor) By
the project located at 1619 %Dl J eoca,'? '1?l: z':V9'Z_ S�z St Ludo Coumy
(Project Street Address or Property Tax ID #)
It,lrs understood 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
fi 'I' ng Qf a Change of Sub -contractor notice.
CQNTRACTOR SIGNATURES (Qualifier)
P 'INT NAME
COUNTY CERTIFICATION BER
Ste to of Florida, County o e-/ q
III
foregoing instrument was sign before me this �d o
''QJ 20� by
wh'iis p rsonally known _or has produced a
I ..
as i entification.
•e of Notary Public
I ( 11-L (�&-[ y
ime of Notary Public
11/16/2016
SUB-IONTkACTOR,SIGNATURE (Qualifier)
7:11 M GeV
G-z VDU 'V_'<-3/
COUNTY CERTIFICATION NUMBER
State of Florida, County of iK
The foregoing iinstrument as signed before me this I day of
20�i/
, by �� 11 -
who is personally known ' or has produced a
i
Notary Publlo State of Florida ^/vv
June Baird )✓ �►'"
�. My MWOMM n FF 1094E
p� Bl OILMlyZp1E Sign r o No ary Public '
Print Name of Notary Public
Notary Public State of Florio
My Commission GG 28184
Sapires 1210612022