HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT
St. Ludeftnty
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for e, s3 �ot �\G .
(Type of Trade) (Primary Contractor)
For the project located at
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
L k �. ����
COUNTY CERTiii A ON NUMBER
State of Florida, County of_NC.�1Y'1�
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
S,C,Na35� � sT���2-��SG9a
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 9 Zday of The foregoing Instrument was signed before me this a�day of
��US'1� .20� by-'C'r��c.c. ti`(�oc-.a�eS LQ�}� 2o\.by �c T�
who is personally known SLor has produced a who is personally known\�Z__ or has produced a
as identification. as identification.
�� STAMP � STAMP
Sig�nat fafNotary Public eamatory Public
� FF zc� 4 �,ytr� d� \IDS ��X\�S t�OYJtic7t�
Print nme of Notary Public Print Name of Notary Public
=1112SIS2022
State a}Flori"a NEE
State of Florida
bins ins
ion GG 260183 n GG 2a01e3
Revised ll/16ROI08R022 /2022
PERMIT#
ISSUE DATE
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT "
a
Sub -contractor for
5
It is understood that, if there is any change of status regarding our
project, the Building and Code Regulation Division of St. Lucie C
filing of a Change ofrSub-contractor notice.
COUNTY CERTIFICATION NUS@ER
state ofWorid., County of,
The foregoing Instrument was signd before me this r�day of
who b personally known _Y_._1 has produced a
�as Identification. m identificafion.
S,g.mre fNomry Pub m�,(� �_Sigoetur orN.lmyPubIl.
PrinT6'ame ofNoMry 1'ublm
Reldad 11/16/1016
a
llotary Public State of Florida
, Denise Robbins My CetlllNSI GG 280183
WIN, Expires 11/282022
SCANNED'
St. Luc 6COunt v
-'71)1-va4.000 3
I
with the above mentioned
advised pursuant to the t
i
I
NATURE (Qualifier)
COUNTY CERTIFICATION NU6IRER
State of Florida, County or,�N�� Q
The foregoing instrument was signed before me this f_day of
Zy"C.201y e_
who Is personally Ins." r has produced a
Print Name of Notary Public
STAbIP
��asr11 y Public State al Florida
�P se Robbins
ommudi sion GG 28018JW:.pnaa4 1112a2022