HomeMy WebLinkAboutSUB CONTARCTOR AGREEMENTHE]:
ISSUE DATE
:..�_ PLANNING & DEVELOPMENT SERVICES
Building &Code Compliance Division
0
o
- -- BUILDING PERMIT SCANNED
AGREEMENT BY
St. Lucie County
(Company Nanto/Individual Narne)
the F L l g '1 c a L Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Properly 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.
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CONTRACTOR IGNA URF. (Qualifier) SUn-CON' RAC R SICN.\'1 RE (Qualifier)
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PRINTI AME
COUNTY CERTIFICATION NU 1 E5
State or Florida, Countyof
C,(A t ftPoMtwJ
PRINT NAhIE
Z(.a1(4
COUNTY CERTIFICATION NUbIRER
State of Florida, County of S (• L CA -c n
The foregoing Instrument was signed before me this _-/dday oIf The foregoing instrument was signnesd1 before me this
1 0— day fir
_, 2 9. by m ; %� /l.e J . /) i `F rt n [t �(' � _S&0er,OCY , 2oA by C�zf J� Ftt��Jt�cNt�
who is pe.nu • Mown or has produced a who is personally lmo n r has produced a
as identification. g�2.A'
as idr tine lion.S'I'ANI STAMP
natureofNotary ublir F Sib Lure of Namry Public /�11
�Li 6Jb� }ALL P�11� t �r,S�3•e l�raJti•Vy
Print Name orRotary Pub c Print Name of Notary Public
`N6;: AUDREY B. BUMPHREY I;3 5 • Notary Public State of Florida
` Q®� MYCOMMISSION#GG300817 !$
•. �$ •° EXPIRES: March fi, 2023 a ? Christine Craveiro
Revised II/IG/201G ;.�A,`i�� My Commission GG355732
%foci;°• Bonded Thru Notary Public Undeiwiitors. �'Y' g Expires 07/152023
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L� ,•ty r .. ;,, PLANNING & DEVELOPMENT SERVICES
I RI,Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
(3{^I sI f f A&-r /IA td it C vend '' Z0n Jl)e have agreed to be
(Com lany, Name/Individug ame)
the akaha ate-,la-1 Sub -contractor for. 1)/ rra n e -D
(r peofTrade) (Primary Contractor)
For the project located at 1 Ob
(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.
CONTRACTOR SIGNATURE (QaflBacr)
j_SU TRACTOR SIGNATURE (Qualifier)
PRINTNAIME rr �5� �� er 4i . �,;n' peg,
PRINT NAME
COUNTVCERTIFICATIONNU IBER _ COUNTY CERTIFICATION NUMBER
State of Ftorlds, County of State of Florldn, County of sr L -eel.e-
The foregoing Instrument was signed before
!,(m�e, ibis r` 'day off The fo ¢going instrument was signed before me tbai�. deny of
��y fasp i produced
�V-A'8G�'fVG �,1 %,by �G1131/_ cF.(p r
wbo ie erson own or has produced a who is personally knowoc—or has produced a
as identification.
�gnflhrc of Notary Publie STAMP
•.:ct? AUDREYB.HUMPHREY
MY COMMISSION #GG 300817
Revised I uw:l 16 iEXPIRES: March 6, 2023
Bonded llttu Notary Public Undemilars
L u,orawawcassa+'•aa•
Print Name of a IIErjS SUSAN MONTENEGRO
MY COMMISSION#GG089099
j; e.` EXPIRES: April 2 2021
Sor"Thm NotalyPublic Untlnwtilers
•L-SCOUNTY
--
As
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUIT -CONTRACTOR AGREEMENT St. Lucie County
For the project located at 1 b(, n3 ' Pr,.,e 1,,Jte Arm .
.S (Pbject Street Address or Property Tax ID #)
It: is understood 1JAd; if there,is any change of status regarding our participation with the above mentioned.
project, the Buylding and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Cha, gg of.Suh-contractor notice.
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C'ONTRACI'ORSiGNN.fI�1t��-(QvaBf!er).
SUB •CONT 'I'ORSIGNATURE (Qualifier)
PR NA6IE e N C-`C/ '(�• D��OC)
Ing
CyDUN-rY CERTIFICATION NUIIIBER.,"".::,•' COUNTY CERTIFICATION NUMBER
State otFlorida ,.Countyor ��jj )) ��' •� . State of Florida, County of. ST •L4t?�tt..•.. L %
The fo of Idstrdment "s signed before me tbts;1 da of - d•-� + reg W: I.•, • ga ' • Y The foregoing Instrument was signed before me this �� day of
a�zol ,b, A AD(eV 1511VnLu
who is persoasi , cc �.n has produced b who Is personally known or has produced
as identiBeatilm , - a SIdEnd1c6tIon.
STAMP
Igoature of,N Panc +, +
Pri ame of No Pubic
Signature of iota Public 'STAMP
7 A-r�cUA .. PJ��:
Print Name of No ryPubhc
°oi�"Yoi;• AUDREYB.HUMPHREY
MYCOMMISSIONkGG300817
EXPIRES: March 6, 2023
Reviscd11116R016 Public Underwriters
'Bonded 7II Notary
TANYANEVIU E
Mycom m$roMlcci25M
pi EXPIRE9 Ofter12 =2
s
`�'•,u:it?e BoldeditNaWVPuWUndw*an
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES RECEIVED
Building & Code Compliance Division
® i
BUILDING PERMIT ��� 1 9
SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting
SCANNED
BY
St. Lucie County
D; �Fr-zz,"s w (_ov,7 l MILL have agreed to be
(Company Name/Individual Name)
the Qbf' rVIG - Sub -contractor for D/(—r-4M Ur5 of
(Type of Trade)' (Primary Contractor)
For the project located at
C rl f rl Z_r d l-f
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.
� 1 ��
CONTRA�URE (Qualifier)
h I'G �1� 0
PRINT NAME
2gq//
COUNTY CERTIFICATION Q'UMBER�
State of Florida, County of��,1
The foregoing instrument was signed before me this day of
em
d ee .20,0 by_�����������
who is personally known Zor has produced a
4�'
SUR-CONTRACTOR SIGNATURE (Qualifier)
_OhfzU-_tl
PRINT NAME
COUNTY CERTIFICATION19ER
State of Florida, County of NU 16
The foregoing instrument was signed before me this day of
20L-L' by
who is personally known _or has produced a
as identificatio . as identificatio
�_— STAMP � / L STAMP
ature of tary ubac' srgnAFU,. of u is
Print Name of Notary Public
,,, KAREN S. NIELSEN
==o�� e�WsState of Florida -Notary Public
Commission p GO 207484
My Commission Expires
?p WO' June 12, 2022
Revised 11/162016
Print Name of Notary Public
KAREN S. NIELSEN
State of Florida -Notary Public
_ E Commission ri GG 207484
My Commission Expires
1
( J
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
ONRU DING PERMF
BY
STIR-CnN ACTOR AGREEMENT St. Lucie County
have amded to be
(ComplName/Individual Name)
the Z60 Sub ontractor for �)�N\FrA,, esw
(Type of Trad (Primary Contractor)
For the project located a b o t o a ed l e- ar�i- Pi
(Project Street Address or troperty Tax ID #)
It is understood that, if there is change of status garding our pard ' ation with the above mentioned
project, the Building and Code Regul 'on Division f St. Lucie C ty will be advised pursuant to the
filing of a Change of Sub -contractor notic .
N
COUNTY CERTIFICATION
State of Florida, County of
The foregoing instrument was signed
1.
who is persQQQ���a y-Imo , by
or' nss t
as identification
a
Ok
- day of
STAMP
AUDREYB.HUMPHREY
AIYCOMMISSION#GG300617
a'• EXPIRES: at 6.2023
?;oFv �o,,; P,onded Thtu Notary PublicU�ermilets
Revised lln6no16 :--
133o337
CUUNIY C ' 1'IF1CA'IJ4JN NUMBEK
State of Florida, qunty ofl3t•
The foregoing instrummee,,,,,rrrrttk�was signed before me this day of
20a\y L
` 1ho is personally ImowrY or s produced a
STAMP
Print Name of Notary Public
MOVNIMNEGRONS
W COMMISSION O C4 323420
EXPIRES:Apdi9.2W3
%'.',eo�M1o?•' Bonded Tlra Ndw Mile W& MiGete