HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie Countv
a (Company NaineQndividual Name)
the Q !'1 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
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.
CO SIG ATURE (Qualifier) .
d� M:H�-.
PRINT NAME
im
COUNTY CERTIFICATION ER
State of Florida, County of
The foregoing instrument was signed before me thi�day of
, 24& by rn v ,ya &a�t11 —ell o
who Is personally known _or has produced a ✓ �l
as identification.
STAMP
Signature of Notary blic
Print Name ofNota`ry P bli
&WA��r-toss
Revised 11/162016
Ak
SUBC0NTRXCTQH3kGNATUREt
PR l NAME
"LlYrfia
COUNTY CERTIFICATION NUMBER 1
state orFlorida, County of'4' f•./i e
The foregoing instrument was signed before me thiejf l—
day of
(7T3a�t'U�' , 204,by M h Ni L`Pr-
who is personally (mown _or has produced a YV C.%1(Df•
as identification. T K•
STAMP
Signatureof otary lie i _
\A Sl ',\ QF4 8 N� k P1')"
Print Name of Publ c
.�t AUDREYD.HUMPHREY
F' s
yr:.: MY CouMISSlON9G030081T
E%pIRES. Lilli 12023
%oir?"••: Bonde071wN PWIM1dmV*M
PERMIT #:1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
(Coom,Pany Name/dndwidda , me).
the t� (� /f�R I G Sub -contractor for
5yperof- .rade) (Primary Contractor)
For the project located at
- 000 r S
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.
CQ f
CONTRA, _ . Imu(,Qualifier)
s• A
% cJAWon i A/ 67&A i `
RINT NAME
`mil
COUNTY CERTIFICATION ER /�
State of Florida, County of
Theforegoing instrument was sigtneed�before
�meth/ii�,daayy of
� y
2A by I rI l) Ni MA—�F+�1V �.I 10TT
who Is personally known _or has produced a ✓ ' 1 i
as identification. -3)12Tr . Ia
STAMP
Signatureo Notary blic.tSWPri
nt mi n
nt Name o[NofaryP hli
pl,IppEYB.HUMPH 8�pp811
Revised 11/162016
C6or
�SU CONTRA - OR S,lI., NATURE (Qualifier)
-
/#M
PRINT NAME
— 41
COUNTY CERTIFICATION NUMBER
State of Florida, County of's�i)_1'LG(e f—
Thefor�eggoiingiinstrument was signed before me thil [—day of
�1
" t l .201 ,by Mhhlj ;f�— IZ) eil v 607
who is personally known _or has produced a Y� C
as Identification. t> K•
STAMP
Signature of otary tic
dun, JRF4�� nn�N
Print Name of Notaiy Publ e
Fi• • AUDREYB.HUItWF1REY
; e WCOMMISSIONOGG300817
:S. e?<< EXPIRES: Much 6.2W
•'••tarry$.• SodedihN PU*Ua&Mlae
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PERMIT # 7 ISSUE DATE '
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCAN N EU
SUB -CONTRACTOR AGREEMENT
BY
St. Lucie County
have agreed to be
the r--'L lzt noSMl N (S- Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at N 'S /_ lfrJ/" C��(l U -
(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.
r
CONT SIGNATU LE(Qualiiffi�er))
PRINT NAME
lu
COUNTY CERTIFICATIO`NE�G
State of Florida, County or
The foregoing instrument was signed before me thi�day of
2a by m o N 1+�
who is personally known _or has produced a NE Y 1,iy-
as identification.
STAMP
v
Print Name of Nofary P ibli /
pii
Revised 11/16/2016 "R
3:: 1�I_.•: EXP ...�_a�wethdern'`
PRINTSUB_CiC�� 'y! SIGNATURE (Qualifier)
le
JV40
CO Y CERTIFICATION NUMBER
State of Florida, County of _•L-Gtr e r•
The foregoing instrument was signed before me thc::) day of
110 -Dgtil t . 204,,by M b N i cis- �v► �e I I 'o ���
rTT 1 he� ' 1 I who is personally known _or has produced a �C•✓�iml'A-•
as identification. -bK
STAMP
Signatureof omry tic
4 t�(((���-�` '
NA Sl I2F4
Print Name of Notary Puldle
AUDREY B. HUMPHREY
' MY ComSSJONNGG306817
x.+og ExpIItES:Atard16,2023
'•'•'rein?",• BOIIdedThN = PYbACUadBNIROt�
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the A e Ch a Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at / /
(Project Street Address or Property 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.
COMF OR SI NATURE (oualifier)
A*nrjo Id 60�/t
'PRINT NAME
`mil
COUNTY CERTIFICATION
State of Florida, County of kvkt
The foregoing instrument was signed before me thilrday of
2Aby M 0 Al�w9e 110 .
who is personally known _or has produced a hz. led-v - JTl
as identification.
STAMP
Signature of Notary bhc
��
Print Name of Notary P bli
GAG
g,HUMPH7
Revised-11/162016 a. s �jRES bie
SUB -CO wZ?SICNATURE (r
• Tri%/
PRIXTIIIV:ME
COuATY CERTIFICATION NUMBER %
State of Florida, County of n • •t..li l.`4 a r-
The foregoinginstrument was signed before me th1 day of
mDftr4— . 20]4by M o N i cilt-I IIZ�)ivl t`9e i 10 601
who is personally known _or has produc`eddaa yV�V C .%iQNf�1•
as identification. K•
STAMP
Signature of otary lic
Print Name of otary Pub' c
+... o . ' AUDREY B. HUMPHW
"s
MYCOMAUS8I0NSG0300B17
of EXPIRES:MORK2M
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