HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
(Company Name/It`dVdual,Nam'
�/ k .,. �; ..4
the � G �' � � Ch� Sub -contractor for
(Type of Trade)
For the project located at %�/l 114104e &41
(Project Streettt Al ddress or Property Tax
(Primary Contractor)
SCANNED
By
St Lucie County
have agreed to be
M
It is llinderstood 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.
l RACI Oy?SI61xA E ( ua
f7�Cy�l�/�,r� •J• �� eft.
PRINT NAME
A'A
COUNTY CERTIFICATION NUMBER'
State of Florida, County o Y/ l
The foregoing instrument was signed before me this 11day of
20jyby f?
who is personally known _or has produced a
as identification.
�. STAMP
Signature "ofNot.ry u lie
Print Name df Notadv Public
"P AUDREY B. HUMPHREY
Revised l 1 /16/2016 '* *: PAY COMMISSION # FF 174772
EXPIRES: March 6, 2019
;og 0Y� Bonded Thor Notary Public Underwriters
s
LEB=CO/�N/TRA~ Yt�SIG, �T • - �
PRINT NAME
ILIA
COUNTY CERT CATIONN"LrBFU
State of Florida, County of . .
he foregoing instrument was signed
before me this %day o�
\TA by Ph ItsUl�YJer_ , _ R1F9&
who is personally known or has produced aCJ1`
as identification.
/�, , J z - STAMP
30'ature-of NoU Public
Print Name of Notary r
blic�
'W ..^v''% QUDREY B. HUMPHREY
*= MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thm Notary Public Underwriters
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Sc
BUILDING PERMIT �NNEi�
SUB -CONTRACTOR AGREEMENT. � CuCie OU
my
i (Company Name/Irdi &.uAL-JNA%e)�,
the I • ex h an j eAl Sub-contractor°for
(Type of Trade) (Primary Contractor)
For the project located at
(Project St ddressr�o Property Tax ID )
have agreed to be
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.
N�
COUNTY CERTIFICA IONS
State of Florida, County of
The foregoing instrument was signed before me this if day of
201, by 1
I
who is Ipersonally known or has produced a 1 ' i� �� L
as identification.
alawrSTAMP
Signatur re of Not Public o
Print Name of Notar Public
AUDREY B. HUMPMEY
,=Q,fr°moo'• COMMISSION # FF 174772
Y
M EXPIRES. M F bun01ers
Bonded Thru Notary u
Revised 11/16/2016
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SUBO1rRA _ .OR.$)G T_ _ er
``"'iiaa !Y:�`i��n:f!'tL�_.;,`•.tiFr,• .::r.'.``L�•;a:' `�'
PRIRT NAME
Al
COUNTY CERTIFICATION NUMBER %
State of Florida, County of-S-4 - .( e
The foregoing instrument was siigg�ned before me this _a day of C
20ffby(�I a x �i/?)� �I^��
who is personally known or has produced a
as identification.
MP
Sig ure of Notary P b c
Print Name of No ry Public
AUDREY B. HUMPHREY
MEXPIRES F6, 20
92
March
,
BoededThruNotary Public Unde,1111s
M
A
I
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES.
' * ' ` ` Building & Code Compliance Division
n
r
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT 8CgNlV
�l 44coe �o
4nty
have agreed to be
I (Company Name/I diuidual:_Name)y�
the D 1'1 Sub -contractor for
(Ty e of Tra (Primary Contractor)
..." ..a.
For the project located at �l Ce / -�
(Project $,try ldress Property Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
I
COUNTY CERTIFICATION NUUMM,B� Eft
State of Florida, County of /mac
The foregoing instrument was signed before me this j_q__ day of
2 ZO by lr'
who is personally known _or has produced a
C•
as identification.
/�I' J Ul
STAMP
ignature of Notilry Public 1 J }�
Print Name of Nctary Public /
i
AUDREYB.HUMPHREY
=' hY'l'g� MY COMMISSION 4 FF 174772
EXPIRES: March 6. 2019
Revised 11/16/2016 �'.gR€ ° BoodedThNNotary Public Underwiters
I
QSUB,CONTRA OI�SIGN
.5..lC•a.un. �, •, 1.P11;.
PRINT NAME
COUNTY CERTIFICATION NUMME•R�p�
State of Florida, County of
The foregoing instrument was signed before me this day of
,zo 1Sby It$p,VWPC
who is personally known _or has produced a
as identification.
,�",4-1_
Signature of Nota P blic &'gL44-0,�STAMT
Print Narne—oT Nota riPublic /
,;�jt'rT` "Ale.
AUDREY B. HUMPHREY
*: +
MY COMMISSION # FF 174772
F
EXPIRES: March 6,219
,6�tyd'0
Bonded Thr Notary Public U derwrters