HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
the I-' I tt n
(Type
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT OCT 3 0 2019
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
Name)
Zee 6? Iley W i
have agreed to be
Sub-contractorfor POOR
(Primary Contra tor)
For the project loc
ted at 062 115 V YV -V (J . \)V
(Project Street Address or Property Tax ED #)
It is understood that,
if there is any change of status regarding our participation with the above mentioned
project, the Buildir
g and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change
f Sub -contractor notice.
SUB -CONTRA R IGNATUR (Qualifier)
CONTRACCO I N T(Qualifier)
7-z R 14/ t
C / r IP KL/ l7UY
I
PRINT NANIF
PRINT NAME
aF37►
02 $ 37f
NUMBER COUNTY CER FICAT[ON NUMBER
COUNTY CERTIFICATION
State of Florida, County o
y
'A I a s ra (. State of Florida, County of I A A C _
The foregoing instrument
as signed me this day of The foregoing instrumentwas signed before me this � day of
ors 20
(before
by 1t lY�lt��� bi 20 �.,by l AN l
who is personally known
or has produced a who is personally known 'I —or has produced a
as identification.
as identification.
STAMP STAMP
Signature of Notary Public
Signature of Notary Public
�'
r fT•� �` �U WI��
is •. print Name of Notary Public
I
Print Name of Notary Pub
Yft Notary Public State of Florida
. A Thomasina Bowins
y @ My Commission GG 201733 y"Wn Nota Public State of Ftodda oiaos Expires 03/29/2022 :o AThomasin a Bowins
Revised l l/162016 '( � � �' My Commission GG 201733 o. n Expires 03/29/2022
69
the
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
c e Fie
(Company NE me/lndividt
fZCC/ t(ZAL
(Type ofTrade)
For the project loc
It is understood th
project, the Buildi:
filing of a Change
C
State of Florida, County a
The foregoing instrument
NA 20-1
who is personally known
as identification.
of
Revised 1
at
iBUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
;eD R Yu ��
St Lucie Count,
IC
Ober%� I
RECEIVED
OCT 3 0 2019
Sf. Lucie County, Permitting
have agreed to be
Sub -contractor for {00di S' 6 V � (e eg e y/ri
(Primary Contfactor) .
Street Address or Property
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 this day of
byTRiy
_or has produced a
Notary Public State of Flodda
A Thomasina Bowins
My Commission GG 201733
Expires 0312912022
STAMP
PRINT NAME
19e3lF
COUNTY CERTIFICATION NUMEER
State of Florida, County of 1 I 1 \ —
The foregoing instrument was signed before me this day of
Oct " 201✓ 4, by 71J
who is personally known Nor his produced
as identification.
STAMP
Signature of Notary Public
�MWQ ►n \m
Priut Name of NotaryPublic
e�A9Yp` � vyq�
* °c Notary Pu_blil,ee
�:;✓ A Th0 c Slate
a A 0 nny Commasena 9Pwingiorof
ida
EXPires 03/29/ZpZ2 Z07733 s