HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # T
ISSUE DATE
r PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PaV4A ELEeT2)Clieo1,er-r Pa yu k
SCANNED
BY
St. Lucie County
have agreed to be
the C-L E e l 2 t C A L- Sub -contractor for 1000l-c 6 y e tc e 9 i ._ Atz
(Type of Trade) (Primary Con ctor)
For the project located at
(Project
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 SIG RE (Qualifier)
1�2rzV �U(a'
QyICYdU
a�k3 -?i
COUNTY CERTIFICATION NUMBER
State of Florida, County of In W L
The foregoing instrument was signed before me this day of
d Ci , zo�br�aLl W 1X
who is personally known —)9-nr has produced a
as identification. 51y �Jn.�,..�.
'•�' STAMP
Signature of Notary Public
Print Name of Notary Public
lic State of FloridaRevised
o
II/162016 iPina
=Thomasina
Bowinsy,:sion
GG 20'17333.29/2022
SUB-C rr OR N RE (Qu ifier)
P'oberr PdyU k
PRINT NAME /
COUNTY CERTIFICATION NUMBER
State of Florida, County oC�
The foregoing instrument was signed before me this day of
Cj 20A, byJore�tr
who is personally known Xor has produced a
as identification.
_r U � STAMP
Signature of Notary Public 11
- -Mwa�'� twy\5
Print Name of Notary Public
Mann
for no°
v vM+•'
Notary Public State of Florida A Thomasina Bowins
My Commission GG 201733 P;
Expires 03/29/2022 Y
R
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
have agreed to be
(Company Nanie/Individual Nat11e) i
the J Sub-contractorfor 90D15 6q G715?9 ._QnL
(Type of Trade) (Primary Contra tor)
For the project located at
(Project Street AddroSs 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 SI ATURE ( alificr)
A wl X
PRINT NAM
aon` �
COUNTY CERTIFICATION NUMBER
State of Florida, County of _s U)& e
The foregoing instrument was signed before me this 1 day of
hC� 20 1gby�Y.i f14 WIX,
who is personally known �pr has produced a
as Identification.
'l--/ STAMP
Signature of Notary Public
Print Name of Notary Public
�v o,� Notary Public State of Florida f
ae°: A Thomas)na Bowins
My Commission GG 207733 d
off
Ezpiies 03129/2022
Revised 11/I 2R&F-
s
2t �1 Z
SUB-CONTRAQ'1'l9 t SIGNA (Qualifier)
l CY r l
PRINT NAME
a5137:171
COUNTY CERTIFICATION NUMBER
State of Florida, County of . l.l.IC1 e.
The foregoing instrument was signed YI) beforemethis —1 day of
201gl by �Yi1 1 4
who is personally known Y or has produced a
as identification.--Tff��---
STAMP
Signature of Notary Public
N i1'1D7mm)' Ra- w
Print Name of Notary Public
C rhorido
n'nao+ aStare p
^`^!'r Fx-,O'^m�S'�, -
c' 03/Wins
29/2022 201733
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