HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENT512
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
`= ` `q ,maw Building & Code Compliance Division
r BUILDING PERMIT SCANNED
_ SUB -CONTRACTOR AGREEMENT
BY
St. Lucie County
( f A aw" 12P(,VIY I �/ have agreed to be
the V 1 "U " 1 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at V U ( ►�iL U e-� r
(pr#ct Sir et Address or Property Tax ID #)
� t l
�w Imrnl
It is understood that, if there is any c ange of status regardiour participat' It 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 SI NA URE (Quahtfer)
P NAME
ME ��---o
COUN'TY�CERTEFICA IONC , HER , P ✓
State of Florida, County of lily .y
The o ng instrument was signed before me tht l da of
4� 20A by
who is personally known _or has produced a L_
as identlRcation.
STA
S atur orNotary Public
-KAREN S. NIELSEN
ate of Florida -Notary Pubi,
:ommission # GG 207484
My Commission Fv�i,e
Revised 11/162016
CO CERTIFICATI /ER,�j1
State of Florida, County of
Instrument was signed before me this
• f /f.,
The 1 52 by
r r
who is personally (mown _or has produced a
as IdenNficatf
1"M 2.
MP
siridifureo otary lic
'fete of Florida-'4' a"OCN
CommisG sion # y Pub,
Nl y Commission 207484
June 12. in Expires
57
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
For the project located at ` U U ` I "VVI-' IIJL-,
( roject Street Address or Property Tax ID #)
(SUJ1ir"Iyn .Poz)
It is understood that, if there is any change of status regarding oVparticipation 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
notice.
COUN7 S' CER I
/,�(W.p /%ire/r%✓
AT N ��ER ���� r
State of Florida, County of �` ,C!
1:: q - -
SUB -CONTRA IGNAT (Qualifier)
CAJIt CGS f-�Pa IcP�—
PRINT NAME
CON —T ER r
State of Florida, Countyof E
The
�f/orj�_' o�ing Instrument was signed before me this d The fo ing iastromeot was signed before mj�16s 1 f
t�204, by , ..'^^ r� QA r�2Y.+bY_�y ,�l O
who is personally Imowv _or has produced a .GJ who is personally (mown _or has produced
as identification. .
STAMP
Sig atur o[ Motary Public
as identification.
Signature of Notary Public
go
. NIELSEN
Print Name of Notary Publica-N G 2Y07484u ri GGission Expires12, 2022
Revised 11/162016
Print Name Of Notary, tip�o`n'r"a'i;'.,, NAritINT. NIELSEN
o^ a
;z State of Florida -Notary Public
=y � Commission 0 GG 207484
W;�?o M10, My Commission Expires
'.,,„1U June 12, 2022