HomeMy WebLinkAboutSUB CONTRRACTOR AGREEMENTPERMIT # I I i ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
i
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
n St. Lucie Count,,
PO0) by 1�2P4 . No, /7e-e0/ W l X
RECEIVED
OCT 3,0 2019
ST. Lucie County, Permitting
have agreed to be
�a.vu��a5q rva ��c,uruivauuar i�wuc). /�
the 1� U n.b) N Sub -contractor for PO C I S
(Type oJJ Tra (Primary Coontra tore
For the projec locz tedat 1��� i�c�2 or�r� ��( �-L i' w-P
(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 B i ildit g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change f Sub -contractor notice.
CONTRACTOR 14'N�ATi (Qualifier) SUB -CONTRA IR,�SIGNATURE (Qualifier)
PRINT NAME
(iV t X IP �� �' J IX
i
PRINT NA
aF3 �► a 8�3�1
COUNTY CERTIFICATION NUMBER COUNTY CERT CATION NUMBER
State of Florida, County of 1,U f_ State of Florida, County of
n V
The foregoing instrument was signed before me this O7 b day of The foregoing instrument was signed before me this O'6 day of
JI �y ��
20A by FL,I r1J1 W�X V \ � .20%I, by 1lUli ) \X
I
who is personally known
or has produced a who is personally known �,or has produced a
as identification. as identification.
ems^ STAMP STAMP
Signature of Notary public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
i
C
I od`' °yNotary Public State of Florida t( yr. e
° ^ A Thomasina BowinS
0Expires 03/29/2022 4
R 9, w� Notary Public Slate of Flaritla
Revised 11116. �N,c p• My Commission GG 201733 ,�± A Thomasina BOwins
'3i tig a My Commission GG 207733
' ��.'�� ExPire503/29/2022
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division =-RECEIVEDBUILDING PERMITSUB-CONTRACTOR AGREEMENT SCANNED -
BY
%� D St. Lucierntintt
P a C Ce ZR;c-1/� -r / R LerU k have agreed to be
the C'IEel 10.4L-
(TypeofTra e)
For the project loc ted at
It is understood
project, the
filing of a Change
a?�3
State of Florida, County
The foregoing instrumen
el,* 201
who is personally known
as identification.
Name
Revised 11/162016
Sub -contractor for 1000i 2 6 y U R eg i ,T/ve..
(Primary Con actor)
or
if there is any change of status regarding our participation with the above mentioned
and Code Regulation Division of St. Lucie County will be advised pursuant to the
Sub -contractor notice.
as signed before me t`hi``s day of
by 1 V�/
.or has producel a
/ 98 y9
COUNTY CERTIFICATION NUMBER
State of Florida, County of a
The
foregoing instrument was signed before me t.his(sday of
6a 20`�, by 11K� t rli�i a�
who is personally know; or his produced a
as identification. —
STAMP 4 — `((— STAMP
Signature of Notary Public
N -CilM 5f:� L(a �Yli
Print Name of Notary Public
Notary Public State of Florida
A Thomasina Bowins
My Commission GG 201733
Expires 03/29/2022 } �" °Wk Notary Public State of Flonda
A Thomasina Bowins
s' 3o„yd1F4MY Commission GG Expires 03/292022 201733