HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSH
PERMIT # I ISSUE DATE I I f� 7_ l -"�'
COUNTY
F L O R I D A
PLANNING & DEVELOPMENT SERVICESIZECEIVED
Building & Code Compliance Division
NOV 2 7 2018
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the 'p)t,/Mh of S Sub -contractor for
(Type of Trade)
For the project located at
Permittin
St. L
BY
St Lucie County
have agreed to be
l-/'u S Ll &:'0 S
(Primar Contractor)
Street Address or Properiv, 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.
x 331(e
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 21, day of
J ✓ , 20LN, by a, r l S
who is personally (mown _or has produced
as identification.
Zg/I/l��iU�
Signatuur f Notary Public
Print Name of Notary Public
-'Oeo/04#000
SUB-CONTI CTOR SIGNATURE (Qualifier)
CT
PRINT NAME
/A (n
COUNTY CERTIFICATION NUMBER
State of Florida, County of—1/z //
The foregoing instrument was signed before me thiso day of
w , 20 by C> i -.. / �<
who is personally known _or has produced a
as Identification. d
STAMP STAMP
Signature of N Lary ub I
Pflat Name of Notary Public
e " >=OFF
5 P Commssonl#FF 228285
My Commission Expires
Revised 11/16/2016 Se temher 4 2019
C
PERMIT# ��A�O��/y ISSUE DATE f/F! ��� p
PLANNING & DEVELOPMENT SERVICES RECEIVED
Building & Code Compliance Division NOV 2 7 2018
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Permitting Department
St Lucie Cn,
SCANNE3
BY
Si Lucie County
' .'& - - � . � -r-7 rJ- W�
For the project located at
(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.
0--33940
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 %(
The foregoing instrument was signed before me this �g day of
AJO� ,20by
who is personally known or has produced a
as identification.
Signatureiffy Public
COUNTY CERTIFICATION-- ////
NUMBER
State of Florida, County off}}
The foregoing instrument ;by
signed. before me this ,� day of
J zoL;by Ti r the, 1,
who is personally known _or has produced a
as identiticau
STAMP f���
Slgnature of Not atilt
P V B MILLS
Print Name of Notary Public Commission #FF 228285
M 8 ob4 2019es
Revised 11/16/2016
Print Name of Notary Public
�Y C MIL S
a Commission #FF 228285
My Commission Ex*es
e Ali i, 4, 201
STAMP