HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTS PLUMBLING - HVAC - ELECTRICALPERMIT # ` cj,��(� r (r\1 n o ® ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�� -- -- •�' "'� BUILDING PERMIT
l
SUB -CONTRACTOR AGREEMENT
.dl r � A :rSe� Nr A
(Company Name/Individual Name)
the I LJM 1
(Ty e of Trade)
For t e project located at
I' (Project
SCANNED
BY
St Lucie County
have agreed to be
Sub -contractor for 0L&''aeA�r t1 oA
(Primary Contractor)
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
projtct, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filinli of a Change of Sub -contractor notice.
CON I�RACTOR SIGNATURE (Qualifier)
II1�E 4�� /�Nt
PRIN11 NAME
State of
I Florida, County of ✓ trU a
The foil egoing instrument
GG��was signed before me this day of
by
who isll ersonally known or has produced a L
as identification.
I1 [__(/ STAMP
Signature oTNotary Public
Ia Wa I/avczh�
Print ameofNotary P ELLEN VAUGHN
�IIII11/
State of Florida -Notary Publi
=.
+- Commission # GG 270079
oQe�c My Commission2 Expires
Octcber 22,
11/16/2016
PRINT NAME
-lane a I oil � I ds
COUNTY CERTIFICATION � NUMBER , p
State of Florida, County of L1JCt
The foregoing instrument
was signed before me this day of
20_, by /-<e ! //
who is personally known or has produced a
as identification. A
/l✓ STAMP
Signature of Notary Public
Print Name of Notary Public
ELLEN
State of FloridaAUC'NN
Commission # Gotary Publ,
My commission
G 270079
Octobe ssion Expires
22. 2022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
--- - -- - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
CANNED
BY
St Lucie County
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
�13W—C
(I ype of Trade) (Primary Contractor)
Forloe project located at
.(Project Street Addrkss or Property Tax ID #)
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
of a Chanae of Sub -contractor notice.
oavnn a ua�c. \a(uunaac� �
1
r
State If Florida, County of
i
The f egoing instrument was signed before me this day of
20 � 1, by k4&tk _7%
Who E personally known or has produced a
as ide 11tification.
of Notary
va
�Iv3da
ime of Notary Public
ELLEN VAUGHN
;=oto� eSte a of Florida -Notary Public
__. •= Commission # GG 270079
:y„F oPe�c My Commission Expires
11/16/2016 October 22, 2022
SIGNATURE (Qualifier)
PRINT NAME
Hwy > -"A Mild p ,
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 i%W
The foregoing instrument was signed before me thist2- day of
20i, by &� � is�`'� o (
who is personally known or has produce -a
as identification.
MP
Signature otaryublic
State of F oNdaAUG
Commission #GG Notary Publi
MY Commission Exp?es9
--- °r 22, 2022
5 ✓
the
For
It is
PERMIT # �`� ISSUE DATE
I�VO v
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St y
M 11— have agreed to be
(Company Name/Individual Name)
e- eU- )i Sub -contractor for � � 3\`�� 1_
(Ty e of Trade) -./ - (Primary Contractor)
project located at
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.
CON TRACTOR SIGNATURE (Qualifier)
PRINT NAME
State of Florida, County of V
The II regoing instrument was signed before me this ( day of
2-'Q by i1 FTi1 M serve
who J� personally known _or has produced a _R, h
as identification.
-r
V
11/16/2016
STAMP
ELLEN VAUGHN
State of Florida -Notary Public
_* •_ Commission # GG 270079
My Commission Expires
October 22. 2022
SIGNATURE (Qualifier)
PRINT NAME -
COUNTY CERTIFICATION NUMBER
State of Florida, County of $1 LkLW— 7
The foregoing instrument was signed before me this / day of
20' r, by 5 ery-) l �-
who is personally known _or has produced a R_ D L
as identification.
Q7 ! STAMP
Signature of Notary Public
Print.Name of Notary Public LJ
ELLEN
State of Florida -Notary Publi
Commission # GG 270079
My0ctObers22 n��xpires