HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATET I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT RECEIVED
SUB -CONTRACTOR AGREEMENT
SCANNED OCT 16 ^0'9
BY
St. Lucie Countv 9T, Luefe County, Permitting
• • . • . 11i7Lt•"iIV Wil►1WMI '11f.�A1
or
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.
CONTRACTORS URE (Quali tc
17PrrNl W 1 )C
PRINT NAM
`3163� (
COUNTY CERTIFICATION NUMBER
State of Florida, County of_4 \& L06 e
The foregoing instrument was signed before me this I day of
MA .20 IQ by:Rff W A X
who is personally known )Lor has produced a
as identification.
— �—t STAMP
Signature of Notary Public 1
P�,��QSinD. Q�S
Print Name of Notary Public
,p.sooe Notary Public State of Florida
a4 1: A Thomasina Bowins
Revised 11/16/20 My Commission GG 201733
'(or ��' Expires 03/29/2022
1
SUB-CONTRACTly
IGNATU (Qualifier)
tcxry w '1X
PRINT NAME
QV3_:� l
COUNTY CERTIFICATION NUMBER
State of Florida, County of CfC , LU4 t
The foregoing instrument was signed before me this �, day of
W 20 L9 by :2 Vf U W \X.
who is personally known Xor has produced a
as identification.
� .f� STAMP
Signature oCNotary Pub a
� •-Ch61'y1(�5�� ��1 �(15
Print Name of Notary Public
Yn ♦[Y q, - �
oblic
G. e' oy C OmaSIna slow. loritla
Expire 03/29/20 2 201733VM®
VM®
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Dh Ision RECEIVED
91 BUILDING PERMIT O C T 15 2019
SCANNED SUB-CONTRACTORAGREEMENT
BY ST: 6ldple eelmhs Permitting
St. Lucie County - -
Irav4A C LFeT,eIC��o�er7' �ayu lC
(Company Name/Individual Name)
the f C E e 7-2 tC R L Sub -contractor for
(Type of Trade)
For the project located at
or Property Tax
have agreed to be
loodls 6y �eeg iNe
(Primary Con ctor�i
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.
��ufil Jif i'
CONTRACTOR SI YV URE (Qu. 'ner)
I c2rzy ('u (-
PRINT NAMFT�
a`?-3 -�i
COUNTY CERTIFICATION NUMBER
State of Florida, County of It IA.Ir1�
The foregoing instrument was signed before me this 1_ day of
()C, ,20A by �i�1A
who is personally known,)Lpr has produced a
as identification. _ L1\—
" —TC1 STAMP
Signature of Notary Public
Print Name of Notary Public
=o0lx Ooa�::::
c State of Florida
na Bowins
c sion GG 201733or no°9/2022
Revised I1/162
a:"yr a�f rT a
PI-Y 1 ' t
1L1 V:.ut
/98y9
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me(this ,_ day of
�) .20)k,by - -JbJA TUII LY
who is personally known lor has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
�e`OAY OWE Notary Public State of Floritla
A 7homasinommis .a Bowins
' o d+4 ExPCe Expires G 201733 ,
e
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