HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTthe
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,O Z' i ?"'t
SCANNED
Py
St Lucie County
have agreed to be
Sub -contractor for _-e
(Primary ontractor)
For the project located at L 3 5� %
(Project Street Address or Properly Tax ID #) 'SU✓3b 1, ,
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 i a Change of Sub -contractor notice.
OR SIGNATURE (Qualifier)
Ve- ^• e i �
PRINTNAW
COUNTY CERTIFICATIONN NUM 3ER
State of Florida, County of 7 i (% Lt e
The foregoing instrument was signed before me this day of
1 U , 20a by
who is personally known '/"or has produced a
STAMP
oY'G BRENDA ROMERO ZELAYA
'? ' �= Notary Public State of Florida
a • Commission if GG 208712
My Comm. Expires Apr 18, 2022
Revised 11� /2015 "'Bonded thrsugh National Notary Assn.
i
Y
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
A/-.s 41%
COUNTY CERTIFICATION ER
State of Florida, County of
The fore instrument was signed before me this 2— day of
,20 �byv��-
who/ 'personally known/"'_or QV produced a 7 L L
as
v
Pint Name of Notary Public
YANITZIA TOD949374
Notary Public - Sta
Commission # Fe�o�My Comm. Expires
�unn1-1•
STAMP
PERMIT # ISSUE DATE
l T
;F LQ'1R .I
Azlmlle-
any'Name/Indi,
the Z'K'e 1' 14
(Type of Trtfde) 6
For the project located at
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
dual Name)
BUILDING PERMIT -
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St Lucie County
41-10 have agreed to be/
Sub -contractor for
(Primary Co ractor)
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.
NTRA S (� URE (Qualifier)
1%4 �y
PRINT NAME
Y� I(i'I*2
COUNTY CERTIFICATION NUMBER
State of Florida, County of�e
The foregoing instrument was signed before me this ZO day of
y , 20,�, by
` or
who is personally known has produced a
identification.
STAMP
ti•�•'�e . BRENDA ROMERO ZELAYA
i. +�; .•tip`' Notary Public - State of Florida
`:cfr Commission # GG 208712
My Comm. Expires Apr 18, 2022
Revised I I11 I-116 Sordec through National Notary Assn.
- —..— — —6&—1
I '
S B-CONY "GfiATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
+ 20—+ by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
dual Name)
the
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
SCANNED
St Lu�Y
cie County
have agreed to be
to �'6y�����
(Primary Contractor)
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.
•E
PRINT NAME
COUNTY CERTIFICATION NUMBER
t
State of Florida, County of 54- (0-J"
The foregoing instrument was signed,benfore me this day of
ft U 20(by P✓n�"`6L".e ` t.
who is personally known (,--or has produced a
JidticatiI
i;iit
1J/Si1gnaatture/Jof/N`ota •yT16blic o�//%J
Print Name of Notary Public
I -
COUNTY CERTIFICATION NUMBER "
State of Florida, County of ' U G e
The foregoing instrument was signed before me this bI day of
11 , 204, by
who is personally known I,— or has produced a
s identification.
'StknnVWqf`NdWry Public
Print Name of Notary Public .
�;s�►�`•., . BRENDA ROMERO 2ELAvA
•`= Notary Public - State of Florida
Commission x GG 208712
My Comm. Expires Apr 18, 2022
bonded through National Notary Assr,
STAMP
,t�vPu'•• BRENDA ROMERO ZELAYA
• _ �• ��= Notary Public -State of Florida
ee` Commission q GG 208712
••..,oFrl;�` My Comm. Expires Apr 18, 2022
016 Banded through National Notary Assn