HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT:# ISSUE DATE .
PLANNING & DEVELOPMENT SERVICES
Building.& Code Compliance Division Luole cc
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BUILDING PERMIT �SER',
„CCEIVED
SUB -CONTRACTOR A.GRE i P
�ui3
S_- 1 ucie County, Permitting
`� e 1r�:►.v�-�'i� .t r ED_r_: (_ C_ CO - have agreed to be
-(Company' Name/Individual Name)
E Ci c w l Sub -contractor fort- 4- 6 C
(Type of Trade). (Primary Contractor)
the project located. at 123 (4. L -ea<r^ N aC-e—
(Project Street Address or Property Tax ID #)
s understood- that, :i f there is any change: of status regarding our participation with the above mentioned
ject, the -Building and Code Regillation Division of St. Lucie County will be advised pursuant to the
ng of a Change of Sub-contractorhotice.
A
llV5. 11 -
JNTY CERTIFICATIOWNUMBER.
e of Florida, County of�`A10
foregoing:
foor�ego�iinn :IInnstrumen1t was signed before me this L day, of
7lJ(/tltld� zo l by JaWSS' LMrVf C1
is personally known V-11." has produced a
Itattillcation. -
STAMP
W)
Q,tRn,(£S k�PPNt�cyr�
PRINT NAME
2c� l G y
COUNTY CERTIFICATION NUMBER
State of Florida, County of �� G /nf -
The foregoing instrument was signed before me this 4.9. day or
�QtAST , 20- , by 0_1,A Les R i7pq.AAAxAn
who is personally_ZyMownr has produced a
as.identifieation.
-STAMP
Sia tur uhh
t.J�I7�t�CJI �U�.t1Li:euJ iC�
Print Name of Notary Public
I
;ot `P�'. _ ANGELABoesool•BIRMINCHA,; ► DAVID JURKIEWICZ
?.�.a�Ci Notary Public • State of Florida
`6/2016ommission k 00 2g9629 =_' •" MY COMMISSION F09989M
My Comm. Expires Aug 16, 2022 ,+,ya EXPIRES June 05, 2020
Bonded through National Notary Assn. FtotldsNoto 3urvlercom
lil
ine •yi i_L -.0 gun -contractor for T U .: �orvc�yc•T�' /�v��s
(Type of Trade) (Primary Contractor)
.... .
For t e project located at , L 3 L
(Project: Street Add
ress or Property Tax ID ##) .:
It is derstood that; ifahere is any change of status regarding our participation with the above mentioned
projert, the Building and Code Regulation Division of St. Lucie. County.will. be advised pursuant to the
filin" of a Change of Sub=contractor notice.
CDWIOR SIGNATURE (Q tier) SU NTRACTOR SIGNATUR (Qualifier)
rnes T L�Onor
PRIN NAME PRINT NAME
R q� : b1l
'CO Y CERTIFICATION NUMBERn(� pp. COUNTY CERTIFICATION NUMBER,
StateFlorida, County. ofV�'CJ State of Florida, County of
The foliegoing instrument was sig ed' before'me this day of 1 The foregoing instrument
was sign d before
me this nw �dayy of
20 by 1 IJ�rG 211 10, by �t ■�Gc� T I eo o a,
who i ersonally known . or hits"produced a who is personally known V or has produced'a
a Iltification. as' entification. .
STAMP STAMP
SMgnare of Notary Public S1gnat r of Notary Public
J,'
a BIRMINGHAM f
✓` G I •of Florida I BI GH
Print' me of Notary Publi ` • c CcPsi.6nt/GG24.9ti25 Print Na of Notary Plit�L�::•. Notary Public 5tate of Florida
My Comin. Expires.Aug 16. 2022 h •'^:
'a = ommi ion GG. 496 5
Bonded.throu h National Notary Assn. ;��y.: C. ss 2 2
g . �"'••'.2'o' my Comm. Expires Aug 16, 2022
Bonded through National Notary Assn.
ReI 11/16/2016