HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
P0, V it C e %-e)0- 00Lerfi
(Company Name/Individual Name)
the C IFC% etc A.L_
i (Type of Trade)
For the project located at 9 U ac
(Proiect
SCANNEu,
By
i' Lucie County
have agreed to be
Sub -contractor for 1000l S2 6 y � R eq ,T jvC...
(Primary Con actor)
Street Address or Property Tax ID #)
I
It is understood that, if there is any change of status regarding our participation with the above mentioned
project; the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
"I
CONTR
1 C
PRINT r
a�1,3-?i
COUNTY CERTIFICATION NUMBER
County of
I
The foregoing instrument was signed before me this a }�., day of
20_�_% by
who is persl pally known
X,or has produced a
as identification.
—�� STAMP
State of
Signature of Notary Public
Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
fort► Expires 03/2912022
Revised I
198yy
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sk, \_\3 C' C cif y
The foregoing instrument was signed �beforeme this �iL�` hday of
` ,201A,by ,,--,, - p!! Q
who is personally known or has produced a D (_
as identification.
STAMP
Signature of Notary Public
A -Md m1kS\* n 01 60 W, S
Print Name of Notary Public
�dtr Notary Public State of Florida
A Thomasina Bowins
y� My Commission GG 201733
Expires 03/29/2022
VWM\0
PERMIT # I I ISSUE DATE
(Company Nar4e/Ind
the 1
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t:
SCANPjEo
BY
ft Lucie c®tanty
have agreed to be
Sub -contractor for 90 6 '( L
(Primary Contra tor)
1 �#r al Lp�;)6 iA
(Project Street Address or Property
ID #)
,J
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing'lof a Change of Sub -contractor notice.
I �
CONTR'CTOR URE (Qua ifier)
TP ICI all
l V�➢ l �(
PRINT i AM
COUNT' CERTIFICATION NUMBER
State of klorida, County of 4 �L LJel
The foregoing instrument was signed before me this day of
r120 t4, by �t r r X,
who is pelrsonally known Xor has produced a
as idenutication.
i
,L—�� 6
STAMP
Signature of Notary Public
I
Print NaTe of Notary Public
�y10" �^ puy Notary Public State of Florida A Thomasina Bowins
c My Commission GG 201733
a�aExpires0312912022
Revised 11/16/2016
SUB-CONTRACTO NATUR a i per)
l c rry Ay X
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of L�7C1 e.
The foregoing instrument was signed before me thisoZU day of
P , 201t, by J t JC
who is personally known / or has produced a
as identification.
STAMP
Signature of Notary Public
A a; -.s r� o w')) Ins
Print Name of Notary Public
�r hy� Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
?orn Expireso3/29/2022