HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS�I PERMIT ff- I 1 `� R O 3 — C)S'1`I I ISSUE DATE
PLAINMNG & DEVELOPMENT SERVICES
Building & Code Compliance flDivision�P RFOFtvFo
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BUILDINGPEPMM er 16919
SUB -CONTRACTOR AGREEAMNT P t, f eoP�dn
o0unty Pnr
0
SCANNED
BY
St. Lucie County
w Ivl tz: `I.1c— have agreed to be
(Company Name/Individual Name)
the e c 1 1 C ti ( Sub -contractor for -Frc A L�p GDA'A-,r
(type of Trade) (Primary Contractor)
For the project located at
It is understood that; if there is any change of status regarding our participation vwith the above mentioned
project, the Building and Code Regulation Division of St. Lucie County Neill be advised pursuant to the
filing of a Chan a of S ntractor notice.
-Wc
CGC 1S)al-6)
COUNTY CERTIFICATION 1 UIEDER
State of Florida, County offt ;n
The foregoing instrument wussig\M1 before me this day of
20�by V 1
who is personally l:nonor has produced a
as id itattiGM
Signature of Notary Public
\�1�i�11P Zi P.L re i
rint Name of Notary Public
y�ynr `4 DANIELLE ZIELINSIO
`'
•'.; x_ Commission#FF926792
X. � Expires October 13, 2019
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Revised lL
SUB -CON T SIGNATURE (Qualifier)
PRINT INAME
COU\TY CERTIFICATI0Xr%MfREIR
StatenfFPY',Clorida,County of i
The foregoing instrument was signed before we thisys .daffy of
'220nby �1 S)C wn IJ C
who Is personally hot has produced a
as. Identification.
sraaiP I ,;f)f/D/ ,C/10� - STAMP
re of\a Pubnc
Print Name ���@�n;,, 'pNIELLE ZIELINSIO
-'y ._ Comm(ssion # FF 926792
�• � Expires October 13, 2019
{%A,,tS+'e 6aiaMThvTigFl�Mvree��a3BSra19
the
PERMIT# •� ^ a1^-, j ISSUE DATE
(Type
ON
For the project located at
ARTan
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Div*,
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT APR 0 2 2019
ST. Lucie
SCANNED
BY
Lucie County
have agreed to be —�
Sub -contractor for �-- rClf1C�1�C1� f lal
(Primary Contracto
1r) e
or Properry Tax
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 SL Lucie County will be advised pursuant to the
tiling of a C*ge of So -contractor notice.
f,
( j ifier)
CC�CI�IaI�"1
COUNTY CERTIF(CATIUN NlhsfeER
State ofFlorida,Cmaty of2i'1 fl
The foregoing fmtrument was signed before me thiLl day of
`iNa2cp \ 7'� cl,py V % nc n C—fc✓` to
wito Is personally known L or has produced
asidentieeadon.
t�Qt,rt,r.QS��I n�.t0 ),Z_ ' t STAbIP
Signature of Notary Pabirc
�'.nt-ells zie(�nS�1
Print Name ol'Nomry Puhlre
DANIELLE ZIELINSKI
AA.= Commission 9 FF 926792
:q Expires October 13, 2019
ea.a.+marnryfa mu..e. moassrote
Revised Un6Qe16
SUB -co, CTO ATURE(Q.rrter)
L�tv e d.1�eist�an der, Jr-.
PRINT NAME
W-o51,La's
COUNTY CERilkl AIIOfN NUA1HE,KR
State of Florida, County of 11 Hl" \ 11�}I\
The foregoing Instrumentwassi
7gn�ed before me this. tlay of
'YP 116y 7, Lw
who is personaay known )Lar has produced,
as idea�yj�a\c}ad.,oh. I
AV1 l lAl1 STAMP
Signature ofNottry Public U
A. Doreen Longford
-
9FARN-RtIBLaG--
PriotName _STATE OF FLORIDA
a' Commit GG043591
`� Expires 12/8/2020