HomeMy WebLinkAboutsubsPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT �� ✓(/�� ���j��.
SUB -CONTRACTOR AGREEMENT r�
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oF� C pdr
(Co Zy�
Name/Individual Name)the M n W C Sub -contractor for
(Type of Trade)
% have agreed to be
(Primary Contr ctor)
j For the project located at �O � remit G✓�d' �'d� h�� �i e��'Q >y�� � S /
(Project Street Address or 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.
CONTRACTOR SIGNoATURE (Qualifieer,),
c c t( a rCif a c/ Cis
PRINT NAME
dh
COUNTY CERTIFICXJtON NUMBERS n
State of Florida, County of, � L4l vi—
The foregoing instrument was signed before mne,�thie22 day of
20�,byA(..C.L1�'�-[�✓ /�U.(/Ff=3
who is personally known or has produced a
as identification.
'
STAMP
Signature of i otary\Puubbli
a . �kpr\V
Print Name of Notary Pub[
"State of F orida Notary Public
Commission # GG 270079
My Commission Expires
Qsiiobe.r: 2.2, 2022
, Revised 11/16/2016
PRINT NAME
Ov
COUNTY CERTIFICATION NUMBER
�
State of Florida, County of
The foregoing instrument was signed before me thi617 day of
20_, by 011
b�
who is personally known _or has produced a
as identification.
E U I di Qr STAMP
Signature ooTNotary Public
O wkQ�
Print Name of Notary Pubic
`O1pRY PV''i ELLEN VAUGHN
i e4o'; State of Florida -Notary Public
Commission # GG 270079
%�;oFF�°? My Commission Expires
"�'"' October 22, 2022
Permit'' Department
St.*
t. s County
PERMIT # /ram (^� ISSUE DATE 47,19
PLANNING & DEVELOPMENT SERVICES rR 91VED
Building & Code Compliance Division JUN 2 7 2019
BUILDING PERMIT Permitting Department
SUB -CONTRACTOR AGREEMENT St. Luc;-2 County
Tl-c have agreed to be
(Com�pa{n�y� Na a/Individual Name)
the b Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at b q () G lk�c`Wvzj )4
(Project Street Address or 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.
CON RACTOR SIGNA URE (Qualifier)
PRINT NAME
X
COUNTY CERTIFICATION NUMBER
State of Florida, County of SG .'1 (- LL c i'le
The foregoing instrument was signed before me this 14 day of
V"\.e 120_ft,by
who is personally known -or has produced a
as identification.
d
C 1 afdi- 1Jei� STAMP
Signature of Notary P'' lic
C-r: S W611(Ge,/
Print Name of Notary Pq lic
�� Notary Public State of Florida
1Lfl6m
hris L Woolley
y Commission GG 185685 (ies o2/26/2022
�e 4L J pw4b
SUB -CONTRACTOR SIGNATURE (Qualifier)
-& L Ai-eL/
PRINT NAME
6(, ri
COUNTY CERTIFICATION NUMBER
State of Florida, County of. 5c, ,, 4
The foregoing instrument was signed before me this 3"A day of
J ewe , 20_Lq, by R, r L u,nL 1)0_V i S
who is personally known ✓ or has produced a
as identification.
(o /w,ti 1..��rLl.GLY STAMP
Signature of Notary Publi
f` K,- t 1/'!,,-4ey
Print Name of Notary Pub is
Notary Public State of Florida
Chris L Woolley
My Commission GG 185665
OF Expires 02/26/2022