HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# _ ISSUE DATE
(Company
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
SCANNED
2 71018
BUILDING PERMIT �+ }t
SUB -CONTRACTOR AGREEMENT St. LuCj�rirtl9lPAYIpartment
St. Lucie County
Sub -contractor for ---Kr
(Primary Co tractor)
Street Address or Property Tax ID #)
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.
��'. —
1 � TR C11�]T3Tf 114- 1: 1
ee'Z� _Ll>Y��
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of—shb-A-Vve
The foregoing instrument was signed before me this day of
R 2e4 by �' 7ffU- �n JYOI
who is personally known _or has produced ((aVV11 fz::(r) ,
as idemificafioa.
�i STAMP
Signature of NotaryPublic
SUB -CONTRACT SIGNATURE (Qualifier)
PRINT NAME
/V
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signedbefore me this !�z day of
2014by/_l Zi117
�� P
who is personally (mown _or has produced a
as identification.
LV C-Q .Y/ STAMP
Signature of Notary Public V
ff-vek s I O=N F-Va Uehn
Print Name of Notary Public - - Print Name of Notary Public —
ELL N VAUGHN ELLEN VAUGHN
(LP'Y PU9��i (PPV P4 i/i
=x r� State of Florida -Notary Public ;��,; State of Florida -Notary Public
>�•= Commission n GO 270079 °ye Commission N GG 270078
a"?� My Commission Expires -,•@= My Commission Expires
Revised I1/162016 ^��"� 6e4eber 22 2022 ^muo��,- October 22 2022
PERMIT #
COUNTY
F L O R 1 D A-
the
For the project located at
�� t a— ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building -&-Code Compliance Division- -- -- REtitveo - -
SCANNVB 2 1018
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. LUCI2PG@ltkl4bepartment
St. Lucie County
have agreed to be
Sub -contractor for 1-1?4. .iPk. t&
(Primary Cot tractf or)
StreetAddre:s 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.
CONTIIACI:6R SIG (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this ? day of
(
who is personally known _or has produced e
as identificatio(%n..
l STAMP
Signature of Notary Public
SUB -CONTRACT SIGNATURE (Qualifier)
PRINT NAME
IVIA,
COUNTY CERTIFICATION NUM yfi
State of Florida, County of�
The foregoing instrument was signed before me this � day of
who is personally (mown _or has produced a_
as identification.
STAMP
Signature of Notary Public V
_ 6 vet ,F"Va ua {vim
Print Name of Notary -Public— 3 Print Name of Notary Public
ELLEN VAUGHN "". ELLEN VAUGHN
State of Florida -Notary Public gz° Y•4e��"= State of Florida -Notary Public
2*(J•` Commission q GG 270079 2 •e_ Commission q GG 270079
%'�O`uMy Commission Expires �,.My CommiOtober2l2n2Expires
Revised Il/162016 9eteber PP P822
PERMIT# LO`�r-O s,,�ISSUE DATE D�:---5q���
PLANNING & DEVELOPMENT SERVICES
Building & Code ComplianceDiV6ARNED "C""50
BY }FEB 2 9 20p,
BUILDING PERMIT Gt Lucie Couq g De
SUB -CONTRACTOR AGREEMENT ' r�Yltlittln
St. Lucie county
have agreed to be
(Company Nam ndividual Name)
the P I L&" A - Sub -contractor for
q(tT,y rof-T . (Primary Contracto
For the project located at A�,a* ZAI
(Project Street Address 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.
CONT IGNATURE (Qualifier)
PRINT NAME 1
/✓ /fY
COUNTY CERTIHCAT
10111 NUMMER
State of Florida, County of S4- c(e— ']
The foregoing instrument was signed before me this/ day of
k6 .20_V by rl
who is personally known _or has produced a
as identification.
i STAMP
Signature of Notary Public
Y9-f(o
/may/ o
UNTRACTOR SIGNATURE (Qualifier) _
PRINT NAME
COUNTY CERTIFICATION NVM13ER
State of Florida, County of�
The foregoing instrument was signed before me this d-7day of
FEB 201� by .0
who is personally known _or has produced a / L DL,
as identification.
fflSTAMP
Signature of Notary Public
Mot Name of Notary PubEc - --- Print Name of Notary Public -
RM
ELLEN VAUGHN
da-Notary PublicState of Public
Commission # GG 270079
n # GG 270078%ission Expires:1.11My Commission Expires
Revised Il/162016 r 22, """ Octo4llr 22, 2022
2022