HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSr
S
PERMIT #
V8 l�r
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
-BY
St Lucie County
/'-° -f have agreed to be
(Company ame/Individual Name)
the %� +OL. w—g it d",r
Sub-contractor for -.,2P
(Type of T de)
(Primary C
tractor)
For the project located at/ 4 2 i 0 � bll�
(Project Street Affiress 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.
CONY). SIGNATURE (Qualifier)
i
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-5- (U
The foregoing instrument was signed before me this 3 1 day of
to .20 5 bby fSlL--,,1 10 R . Z.Q—�—
who is personally known e or has produced a
i
as ide�Ificatiou.i STAMP
--SH&aturh of Notary Public
617" Z�knx q
Print Name of Notary Public
,1a ►v�-; BRENDA ROMERO ZELAYA
Notary Public - State of Florida
Commission M GG 208712
� p!i
j ; • My Comm. Expires Apr 18, 2022
Revised 11/16/2016 Bonded through National Notary Assn.
V
S B-CONY ATURE (Qualifier)
PP M NAME
�,3o5v6
COUNTY CERTIFICATION NUMBER
L4 State of Florida, County of C.iAe'
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
STAN
D
Signature of Notary Public
Print Name of Notary Public
•
�`�t�Y'P4e'� ELLEN VAUGHN
�+ State of Florida -Notary Publi
Commission # GG 270079
PVB�
C .� •- ssion Expires
: �llllllll r 92, 2022
=OSPIAY
W
0079
!.,�oniw•
�, Expirbs
.
2022
P•("-r
PERMIT #
the
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
X 1
Name)
(Type of Trade)
I
For the project located at / %
(Project
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lude County
have agreed to be
Sub -contractor fort, 1-,xrok-1PA
(Primapf Contractor)
Address XProperty Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Puilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
• —OX-M .
PRINT NAME I
COUNTY CERTiIFICATION NUMBER
State of Florida, County of _1y
The foregoing instrument was signed beforemethis 20 day of
10 , 70p , by .I x�CJ tt l
who is personally known _-*or has produced a
i tification.I
I
STAMP
ig a re o o ary Public
I,
. chi P zo lava
An
Print Name of No Public
• di.
. : �• "4 BRENDA ROMERO ZELAYA
" •? votary Public -State of Florida
itt 3; Commission N GG 208712
• ";.:i My Comm. Expires Apr 18, 2022
Revised 11/16/2016 Soraec through National Notary Assn.
SUB-CONT 0OR SIGNATURE ((Aalifier)
*:�7
(142
\i
P NAME ��
COUNTY CERTIFICATION NUMBER
State of Florida, County of U1111C
The foregoing instrument was signed before me this + day of
I I , 20JI!a by
whho� is personally known or has produced a
.5s iUentification.
nature of Notary -Public
fi
rint Name of Notary Yublic /
:iotaR
P4G`• BRENDA ROMERO ZELAYA
��=Notary Public State of FloridaoCommission 9 GG 208712
oF r��l My Comm. Expires Apr 18, 2022
Bonded through National Notary Assn.
STAMP
�Gntry
# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
IZt� k3'� ►� )4
SCANNED
St
Lue1e County
V?Iz q 5:0AE 0t9i05 7`,eAZ6,::?rR/el
have agreed to be
(Company Name/Individual Name)
the �P L.��7-k I W L Sub -contractor for 2,_-- l//C,
(Type of Trade) (Primaryontractor)
For the project located at �� e1 /� �'-'� r � �` ' P. /
(Project Street Addre 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 Div isn of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
X /
CONTRA 0 -S G A `(Qualifier) SU CONTRACTOR SIGNAT (Qualifier)
Rek
P NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,, County of (. u? State of Florida, County of LAG j v
r�
The foregoing instrument was signed before me this "ayof The foregoing instrument was signed before
lme this Z -! day of
20�, by c- r . % .i t�Ol06f . 201 by 1'.. s 6 r4 1� �.i. ar/ i S
who is personally known or has produced a who is personally known _or has produced a F
as ide tificationl as identification.
j
STAMP STAMP
SZ`
gna a is /� 4
Signature of Notary Public 1
: J�lr- �C�1\ ro _ l- t�C/� ' l i1lQ_C P, ,0NN�
Print Name of Notary Public —�T Print Name of Notary Public
BRENDA ROMERO ZEUYA BLAKE PEMBROKE HANNON
�;� • Nola Public State of Florida ��-�4 f Florida
• •�� �: Notary =: • . . ` Notary Public State o
Commission K GG 208712 �" R "o; Commissior = GG 259868
Revised i l%16 My Comm. Expires Apr 18, 2022 �'�u°�' My Comm. Expires Sep 22.2022
�+�ed through National Notary Assn.