HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# J�l�. �a�-7 ISSUE DATE
G c3 SCANN C
PLANNING & DEVELOPMENT SERVICES BY
Building & Code Compliance Division St. Lucie Countv
BUILDING PERMIT R EC E _
SUB -CONTRACTOR AGREEMENT
JAN 3 0 2017
Coompany Nam ndy"�idual Name)
the ,LAL'�}y�A� (spy W_14c
(Type of Trade)
For the project located at (�7C
(Project
have agreed to be
Sub -contractor for &WLR _& 1 pn/�/ltJG'iynlf/NG
(PrimaryContractor)
or Property'rax 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)
Philip W. JIz.
PRINT NAME
COUNTY CERTIFICATION NUMBER
f�
State of Florida, County of 1 V a rh r,
The foregoing instrument
�was signed before me this
�pday of
36n• 201 Iby I � W Vrlo17 l'
who is personally kuownr—or has produced a
�den/tiffic�adon. ry'j'�1J n ��w t�/n
STAMP
Signature of Notary Public
IJ�rholfi �2Wt.s-lrc"
Print Name of Notary Public
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ME
ic State of Floddamskision FF 010807
Revised 11/162016
S I' d,
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COUNTY CERTIFICATION NUMBER
Stale of Florida, County of SJUQ..
The foregoing instrument was signed before me this _�Aay of
. 2kjl by I .�iN(e'^ ONe-
who is personally known ✓ or has produced a
nntification.o �//� ,�//�
a 0'�i`^'-- STAMP
Signature of Notary Public n
Print Name of Notary Public
DAVID RAYMOND PRUE
NOTARY PUBLIC
STATE OF FLORIDA
= C/ mm# FF19W5
Expires 1/26/2019
M
N
the
(Type of Trade)
For the project located at
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t •K
Name)
r_Ucle Cnlmt,
RECEN D
JAN 3 0 2017
have agreed to be
Sub -contractor for P KL,(y fr SD/�1CrInK`i2ulsfiory�nfG
(PrimaryContractor)
l�5 Wtv ✓—Z /?7-. .5 r� ?.rJI-e t r A�G.
(Project Street Address or Property7ax 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.
4y"rOR `
CONTRASIGNATURE (Qualifier)
Pl��lia U� Moraari �i(2-•
PRINT NAME
COUNTY CERTIFICATION NUUMBBEER _
State of Florida, County of 1 .l 4 L n
The foregoing instrument was signed before me this Z(o day of
J`
ain 2of � by t N L� t ` P W oganJa-
who is personally known J(__or has produced a
as identification.
V l�< STAMP
Signature of Notary Public
r0i &ko(e b o vvvs (A:
Print Name of Notary Public
RiEl
ic Slate of Floridaemskision FF 01060775/2017
Revised 11/162016
SUB- O OR S G (Qualifier)
/ r[eati Hj p
PRINTP ME
9D7Z
COUNTY NUMBER
State of Florida, County of
The foregoing instrument was sign before me th' ;M da of
:Ll'Dy—
o is personally known _or has produced a
as identification.
Signature dNotary q is
V
C�>N r,)k17-r! NJA
Print Name of No ry Publc
""' "' AUOREYB. HUMPHflEY
�- MY COMMISSION g FF 174772
='i
:P€ EXPIRES: March 6. 2015
Rs Rf,h Banded ThN Notary Pubbi Undeasrilers
the
PERMIT# //O ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECOVE
BUILDING PERMIT 11,E 3
SUB -CONTRACTOR AGREEMENT S(;HIVN
BY
St. Luce Count
have agreed to be
Sub -contractor for &DAI &1V5:j-1ZIAT-10A/ /NL
(Primary Contractor)
(Project Street Address or Propehy 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.
Al/ W, `!/
CONTRACTOR SIG TURE (Qualifier)
T'WILF? W. MOM n Je-•
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Mawh l t
The
�foregoing instrument was signed before me this —AL day of
�I
who is personally known )Lor has produced a
as identification.
V ✓�✓r�� "� ��A/Lt. STAMP
Signature of Notary Public '•
� l c+to k Dom si Imo:
Print Name of Notary Public
/61® 1-3.
COUNTY CERTIFICATION NUMBER
State of Florida, County ofS/ bz 6-
The foregoing instrument was signed before me this day of
�(> n- 20/'7,by Tr_ y V. C—Xp&CIY7aW?
who is personally known 1. r has produced a
as identification.
" d `.'.. �A •^' _'_- STAMP
Signature of Notary Public
�fraf„p A• Grdsrr, 9n --
Print Name of Notary Public
41 $.ysr Notary Public State of Flodde �,�t wlr� CRAIG A. GROSSMAN
Nichole Den-Iski i t •�=
••:� a t': MY COMMISSION # FF9SOB02
41 v My Commission FF 010807 �, tp, 2020
o� Expims 06/16/2017 EXPIRES May
Revised 11/162016OPi' ♦07j f198-0753 FI Nom•00m