HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County.
Imo' aQ A . C IPC` '1 L0 0 QQCr4rr i'I VY —t �. have agreed to be
(Comp ny Name/It(dividual Name
the (���'1GcLn Sub -contractor for
(Type of Trade) �� (Primary Contractor)
For the project located at 9�J �— FT, 1'1aZ�, bILVD, FT. F(6Ve0
(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 (Qualifier)
L,W DA 79 Two A!
PRINT NAME
COUNTY CERTIFICATION NUMBERs
State of Florida, County of 14. 11D� ,^'d
The foregoing
inumen�tt was signed before me this )um flay of
I O&Ar .tor i.by -� N
�JJ c rye
who is personally (mown _or has produced a U f%J p.
as identification.
STAMP
i oattflf otary Public
�A 1E , i0Y14 e aJ�
Print Na ofNomryPubac
Revised 11/162016 �' . Notary Publie State of Florida'
Margaret E Montepare
rIf
_ , • My Commission GG 214990
v�dF' Expires 00/09/2022
SUB CfOR SIGNATURE (Qualifier)
oc-coollZR3
COUNTY CERTIFICATION NUMBER
State of Florida, County of.�LICIA�
The foregoing instrument was signed before me this i-4- Ly of/
060b2I' .20 ft by � b(i�r—f-I -, C , Q4-
who is personally (mown _or has produced a
as identification.
`wL�F.cICpJ11.Cp /JWIN/ STAMP
Sigaatare ofNo ry Public
Harch ra -
Priat Nam I
Notary Public"
ZEE
tary Pubargaret CommiPirm 00
PERMIT #7 --
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• SCANNED
e BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. LIICI9 COUpft
r—
:�Am b-s �Co tTow have agreed to be
(Company Name/Inddii .i_dualcName�
the � Y eCJ4 r n ;CA Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at GS I ( h FZ& 2C P FL- 3 41 - i
(Project Street&dd r Property Tax DD #)
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.
COU Y CERTIFICATION NUMBER
State of Florida, County of "/ A .f/JC 1 e
The foregoing instrument was signed before me this Czday of
201q by
who is personally known _ar has produced
as identification.
/Ia�CAMP
gnature of of �� ubGc �-((%%ffjj
'Z-NVV -�R� m�
Print Nau�elofrrotaq
Pub tc
;yy.: •... ;EY S. HUMPHREY
COMMISSION#GG 300317
Revised I1/162016 EXPIRES:Match 6, 2023
"'c� Bondcd Thm NO�ry public Ud nensdlers
U-GONTRACIORSI NATUREiQualifli
_ JQ YY) PS -t-o -F-'(7 t) _
QPRINT-NAINIK
CO CERTIFICATION NUMBER )
State of Florida, County of
The foregoing instrument was signed before me th� day of
_, 204 by
who is personally known _or has produced
as identification. ` �''
r�1 p�?�p,SAhff
Signature Signature of Notary
c U C/
Print Name of Notary Pub a
AUDREY B. HUMPHREY
= • •,:
MY COMMISSION#GG300677
EXPIRES: March 6,2023
4 - `
Bonded Thm Notary Public Underwriters