HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSN.._
PERMIT # 1 Q I) _ (M ISSUE DATE
FcCtNT.Y�
L O R d "D A
/e.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I/
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the I ale C4 r 1; Lkf Sub -contractor for
' (Type of Trade) ,
For the project located at
(Project Street Address or
(Primary Contractor)
6',_/
Tax ID #)
SCANNED
BY
St Lucie County
have agreed to be
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 SIGNATURE (Qualifier)
(�`Olc li 1:6s e
PRINT NAME
COUNTY, CERTIFICATION
t
State of Florida, County of
The foreg
oing instrument was signed before me this`` day of
V . 20&� by e n Q,
who is personally known _or has produced a
I
as identification.
I J 1,11111, A— (-P;
AMP
Signature of Nota ublic
Print Name of No ry Public
I
AUDREYB..HUMPHREY
-_ *- MEXPIRMSS M chF6 2019
Revised 111161
Bonded Thru No Public Underwriters
SUB -CONTRACTOR SIGNATURE (Qualifier)
e3i��'rPt / 9te��Ze_
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of -_ T1'J
The foregoing instrument was signed before me thisy} rday of
A/ 20a by )e l
who is personally known _ has produced
as identification.
STAMP
gnature of Notark Pub rc
Print Name of Notary P blic
,;Y:Pyc AUDREYB.HUMPHREY
MY COMMISSION # FF 174772
9s o° EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters
PERMIT # � ,(r O 3 ISSUE DATE.
OU NTY
F L 0 R I D A --
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Co pan Name/Individual Name)
the I ) K..hrr 1, ►"'
(Type of Trade)
For the project located at
g'- 1
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
4V
(Primary Contractor)
(Project Street Address or Preerty Tax ID #)
SCANNEI)
By
St LuC1e County
have agreed to be
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 SIGNATURE (Qualifier)
,!5�6C6Cti /`fs e—
PRINT NAME
i
rTl 1 �OJ -
COUNTY CERTIFICATION
State of Florida, County of
The foregoing instrument was signed before me ths::P X day of
20L?, byO l e n M k), 1(--
who is personally known or has produced a
as identification.
S;yx p ., AUDREY & HUMPHREY
g = MY COMMISSION # FF 174772
Revised I1/16/2 EXPIRES: March 6,
•• ?'�� Bonded Thru Notary Public Underwriters
SUB -CONTRACTOR SIGNATURE (Qualifier)
�G L 'f PL %le��Ile
IQftQ11►1jiI
COUNTY CERTIFICATION NUMBER
State of Florida, County of ['
The foregoing instrument was signed before me this 'day of
fY Irv.
,2Utlhs
le
who is personally !mow_produced
as identification.
" I
STAMP
gnature of Nolari POZ4
Cb 14400t==�
Print Name of Notary P bHc
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
-�, r' EXPIRES: March 6, 2019
' Bonded Thor Notary Public Underwriters
PERMIT# I 1 p I`—O j ,,
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�Cy
BUILDING PERMIT NN��
SUB -CONTRACTOR AGREEMENT
Co4hty
le,4,.-t �_se have agreed to be
(Company Name/Individual Name)
the hi e- c-) a .n 1 Gk_Q - Sub -contractor for
(Type of Trade)
I
For the project located at 5` Z
(Project Street Address or
(Primary Contractor)
6f1e_4
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
I
CONTRACTOR SIGNATURE (Qualifier)
(�/s e
PRINT NAME
I
CO Y CERTIFICATION
State of Florida, County of
The! fli`regoiing instrument was signed /before me th.-� \ day of
,20L?,by r! inks
I
who is personally known or has produced a Ah, . Jr -
as identification.
i
i
AMP
;!goal re of Nota ublic
�5 .
Print Name of No ry Public
AUDREYB..HUMPHREY
MY COMMISSION # FF 174772
Revised 11/16/2 EXPIRES: March 6, 2019
Bonded Thru Notary Public Underv+riters
�J
SUB -CONTRACTOR SIGNATURE (Qualifier)
�Ge 'I Pt �`���'
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of (' ,}
The foregoing instrument was signed before me this df lday of
T)
f V ry. , 201G, Oktln
t
who is personally (mown _ has produced
as identification.
STAMP
rgnature of Notark Public
Print Name of otary P blic `.
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
•0.
•�%8f Ft� Bonded Thm Notary Public Underwriters
IIPERMIT # I P Pi t r n 1I a Lf I ISSUE DATE I / I 1 V II
',
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
U
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 (Company Name/I dividual Name)
the � P"'-D T • " n Al • Sub -contractor for
(Type of Trade) c
i
For the project located at
(Project Street Address or
(Primary Contractor)
r Tax ID #)
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
I
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filints of a Chance of Sub -contractor notice.
i
I ,
CONTRACTOR SIGNATURE (Qualifier)
,!Q t ii / s e
PRINT NAME
a-
COUNT,Y CERTIFICATION �BEJ
t
State of Florida, County --3 I
I
The foregoing last
cNI17•
who is personally
as identification.
Signs ire of Notai
I �
Print Name of Nol
I
rument was signed before me thbgv 1 day of
zqL? by 1 G'rJ rn X 1 (--
known or has produced a • f f t
L V AMP
ublic`
ry Pub tc
SUB -CONTRACTOR SIGNATURE (Qualifier)
eCe'f e ✓le
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of C '
The foregoing instrument was signed before me this 'day of
1 rv' , zo / by le
L, who is personally known _ has produced
as identification.
tin STAMP
rgaature of No Pub c
Print Name of Notary P bile
I
nun, HREY
''�• � AUD
COMMISSION D174772
+ MY MISSIO
`' - EXPIRES:
a••
MarcRevised
':�:Bonded Thru Nota Pu
aryEX
Bonded Thru Notary
i
.-1
v�'• ay'%
AUDREY &HUMPHREY
'
11/16/2 ?
MY COMMISSION # FF 174772
PIRES: March 6,2019
Public Underwriters