HomeMy WebLinkAboutSUBCONTRACT AGREEMENTSISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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Dail(, T21C�ICd%er7 l Gi
the f L
(Type
For the
at
L
sUANNED
BY
;t Lucie County
have agreed to be
ii (Name) �J
Sub -contractor for 1006i S h y r} 2 eg
' (Primary Con ctor)
TAB l0
(Project Street Address or Property Tax ID #)
It is understood th if there is any change of status regarding our participation with the above mentioned
project, the Bttilditg and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change §f Sub -contractor notice.
o2G'37
State of Florida, Codnty, o 1 t—
The foregoing instr meat as signed before me
CLIP 20 1 by l T& r r
who is personally
as identification.
Revised
produced a t
i
of
/98y
COUNTY CERTIFICATION NUMBER
State of Florida, County of _ 'C �,��
The foregoing instrument was signed before me_ this COday of
l
who'is personally known'4:6r has produced a
as identification.
STAMP STAMP
Signature of Notary Public
Print Name of Notary Public
a
r�/�." ips✓'r'Wr Notary Public State ofFlorida.,
A Thomasina Bowins '"
,lary Public Stale of Floritla y �pa My Commission GG 201733 y
ThotnaSlna Bowins k �?a,sd• Expires 03/29/2022
/ Commission
es 201753
0312912 22
6
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BY
BUILDING PERMIT St. Lucie County
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Natlle/Individual Natlje) 1• 1
the J Sub-contractorfor 90p\1' C7Ye_Q\ -I'n(.
(Type of Trade) (Primary Contra tor)
For the project located at T 1 a 0 ` L(w ? -e1S f ( 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.
CONTRACTO IGNATURE Qualifier)
PRINT NAM
COUNTY CERTIFICATION NUMBER
l ,
State of Florida, County of
The foregoing instrument was signed before me this day of
T\ Pam, 20 11 by l & f (f \ J
who is personally known X,or has produced a
as identification.
STAMP
Signature of Notary Public ' I
A T1,.6 Mrs,", .BITW t�ns
PrintName of Notary Public
E
Wyk Notary Public State of Florida
A Thomasina Bowins
t My Commission GG 201733
Revised ll/162016orn Expires 03/29/2022
ov,
SUE -CONTRACT iGNATURE (Qualifier)
l%xr
PRINT NAME
Q%'37� (
COUNTY CERTIFICATION NUMBER
State of Florida, County of 9L, LQt c..
Thfee foregoing instrument was signed before me this CZ Way of
A Pam. 20il, by I ( r
who is personally knowr{�kl_or has produced a
as identification.
Signature of Notary Public
A . I I" m�s �n r
Print Name of Notary Public
219E
State of FlBowinsn GG 2012022
STAMP