HomeMy WebLinkAboutSUBCONTRACT AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
15✓f -
:REC:E1VF0
9 2019ST. Lunty, Permitting
have agreed to be
the Sub -contractor for ,va nC' /S-00'7-rtv
(Type of Trade) (Primary Contractor)
For the project located at / S- 5� Sc e A L /, I cSO 7. 4ce—! 7— S'7- L 11e.14=: mac -
(Project Street Address or Property Tax ID #) .3 y083
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.
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CONTRACTOR SIGNATURE (Q alifier)
/
-/9.v Z> n CaJ �i Sftiy
PRINT NAME
s
C/ CERTIFICA ION BE
State Florida, County
of of
The foregoing instrument was signe
before me thi KA
day of
��, zo�by
SAN
who is personally known _or has produced a
L �L
as identification. r
SMP
Signature of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public ie
W=e12,
NIEL$EN Print Name of Notary Public
•Notary Public GG 207484ion Expires 2022
Revised 11/162016
STAMP
the
PERMIT# ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT
Building & Code Compliance Division
MAY 2 9 2019
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ST. Lucie County,
,!�' el have agreed to be
Sub -contractor for 'VAz�,nz�j / So9-�/i
(Primary Contractor)
S,e eof- C- y 2- 606Pn r �7 Laic=
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.
CONTRACTOR SIGNATURE (Qualifier)
/I fir% C fj�iSrsv%
PRINT NAME
-awrejej ' Ic�e,2
COVKTY CERTIFICATION N f�11B1E'R/l t{_
State of Florida, County of • "wv R,
The foregoing instrument was sig ed be re me thAA9 day of f
1 Y l" 20J9 by \
who is personally known _or has produced a r L
as idenfificatio (\�7��
201 JN �1 �iAMP
gualbre of Not ry Public
Print Name of Notary w+'ob""' KAREN S. I IELSEN
v'F? State of Florida -Notary Public
- Commission # GG 207484
=I E M Commission Expires
",'1 `�` y June 12, 2022p
Revised I1116/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
, 20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP