HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the t5")e CILr— 1 ra-_ Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at 1" w
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our part
project, the BuildXig aA Code Regulation Division of St. Lucie County
filing of a Charyge�/ 'Sub -contractor notice.
SIGNATURE
PRINT NAME
SCANNED
BY
St. Lucie County
have agreed to be
with the above mentioned
pursuant to the
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PRINT NAME
N 1-�1- N I•A�
_U Y CERTIFICATION NUMBER / ,� S CO Y CERT [CATION NUMBER )
State of Florida, County of S4. b,4 C��jj///{�e State of Florida, County of SA • Z*1'r_ t
The foregoing instrument was signed before me thisAA day of The foregoing instrument was signed before me thi� day of J
rvr 1 ,20�bY Qno�Ph�%„/t J _ 20 ,bY a rvie r
who is personally known _or has produced •[w o 1s ph - ersonally known _or has produced a
as identification. /per as identification.
^
( 1, 41 44A'Af ii51 •
Signature Gfrkrotaryphblic U
.itzElL�
Print Name o otaryP lic
..........AUDREYB.HUMMM
MYcOMMISSION#GG300817
as E1IPIRES:Mudl8,2023
•s+?eil;?°`' Bd100dThNHdBIYI�aDQt.'UadBlW:en
Revised I l/162016
STAMP
Si nature of Nota ub is
'zX 14 J less/ 3a •
Print Name of Nota ublic
AUDREYB.HUMPNREY
i MYCOMMISSIONW300817
EXPIRES:Match8,2023
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the mt? &L /lam � 4 p Sub -contractor for
(Type of Trade)
For the project located at
It is understood that, if there is any change of status regarding our
SCANNED
BY
St. Lucie County
have agreed to be
Lon
Contractor)
participation with the above mentioned
project, the BuildAJ aA Code Regulation Division of St. Lucie County
filing of a Char/gV//Sub-contractor notice.
PRINT NAME
MAY ERTIFICATION NUMBER
State of Florida, County of S4. ,(4 V ) e
pursuant to the
SUB-CONTIYACTOR SIGNATURE (Qualifier)
SG 01
V ..��-.j-pvs(�11w4s
PRINT NAME
COUN YCERTIFICATION NUMBER
State of Florida, County of \'1� • 2_4&C t C.
The foregoing instrument was
was signed bbefo/rye me this � day of The foregoing instrument was signed before me thi� day of r��
r. 1 .2019, byrL sWJ �n�Ph�%�I�� +20�+ by�N— G7 • 4e n
who is personally known or has produced a I ^ ,C ��-YYY��JJJ who is personally known or has produced a s (�-
as identification.
as identification.
( .L(,fA'A C61 • AMP
Si'guature of otary blic U
Print Name oTNotary " lie
�; AUDREY 9. HUNPHREY
I.1 s MYCOMMISSIONt6133017
•�`= EXPIRES: Mardl8.2023
Revised 11/162016 •v''•'Fblit?,"•` 8ondedTiw NdBly [imHelbdandan
1 z%LlN�1L.�l /iiL. STAMP
Sigfiature of Noma Pubhc %jam mot/
�tiJ)U'F%l m�,Pae-/
Print Name of NotaqRublic
AUDREYS.HUMMM
MYCOMMISSION#G13300817
ExPiM: Match 8 2023
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PERMIT # ISSUE DATE
•-�GD U H
(Company Name/Ind
the % l.1. r-n
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
.':PvZ S4
(Project Street Address or
(Primary Contractor)
f L tr
Tax ID #)#))
It is understood that. if there is any change of statusregarding our
project, the Buildyy(iJ a* Code Regulation Division of St. Lucie County
filing of a Char)g%d,fSub-contractor notice.
SIGNATURE (Qualifier)
PRINT NAME
1 V /�3-
CO�UI Y CERTIFICATION NUMBER S
State of Florida, County of S4. Z'J' ,� • C ! e
SCANNED
BY
St. Lucie County
have agreed to be
with the above mentioned
pursuant to the
SGO � • �r�l.a�(�j.,pb J(Z�1..7,�(.�
PRINT NAME
—
CO Y /�i!!CERT ICATION NUMBER
State of Florida, County of SA • eCi1/(iC I C.
The foregoing instrument was signed before me this A4 day of The foregoing instrument was signed before me thi� day of
L .20� by% n l"A J 2041 by e n &iO6 �e
who is personally known _or has produced r,,�j C who is is personally known _or has produced a
as identification. 1Las identification.
r1 d'r@J �e %aSl'AMP
Signature of Notaryp
blic U
53.
Print Name o otary P lic
: ✓c!w�.; AUDREY B. HUMPHREY
MYC0MMISSIOHSGG3W6tr
EXPIRES' Match 0,2023
Revised 11/162016 +�°di�,y$+ BoMad7lwtbtsY�=UndelwWn
STAMP
Sigliatureof Nota ub is
Print Name of Nota ublic
S AUDREYB.HUMMM
-.•:rM..'''• a MYCobmISSIOW0300817
EVIRESS::March 6,2023
ai
'•.„Oi M1�P•• n-ndJTum Notal POICVfId�Mll
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Nam«FI.n ividBat'_ ame
the Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at _ 'Shy. `' > W
(&T iree Addfe r Property Tax ID #)
It is understood that, if there is any change of status regarding our partici
project, the Build4' * Code Regulation Division of St. Lucie County
filing of a
PRINT NAME
To
notice.
COUXTY CERTIFICATION NUMBER ,, /}
State of Florida, County of S4 • tt ` C e
The foregoing instrument was signed before me this 0910 day of
J� 'JJ__'20_Mby3bQ41= VA nap
who is personally known _or has produced t
c.
as identification.
/Q►�
//�1"/d��� {y�l • �LCHaSTAMP
Signature of otaryblic
U
� �vz�l
Pnnt Name P) he
eq
o otary
!r
MY�(;OMMISSIOH#GG300817
;a,•, p
EXPIRES: Mareh8,2023
�,e,01 R��
Baldedtlliil Nptalyl�bOelhldBlle111Y1i
Revised l l/162016
SCANNED
BY
St. Lucie County
have agreed to be
with the above mentioned
:4ised pursuant to the
SEW= : gTORSIGN/ATURE (Qualifier) 2
PRINT NAME
COUNJY CERTIFICATION NUMBER
State of Florida, County of S-1 • .t.if te' I C..
The foregoing instrument was signed before me thla� day of
20_0, by ^arvie n
who is personally own or has produced
as identification.
STAB
Signature of Nota ub ¢ y
IZ,4 A L> Di, mii74oet'/
Print Name of NotaryRublic
AUDREYB.HUMPHREY
MYCOA911SSION#GG300817
.• a= EXPIRES: March 6, 2023
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