HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT.I
PERMIT # / 1D 3 — D / rJ,6 ISSUE DATE
SCANNED
BY
St. Lucie Count"
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
BUELDING PERMIT o 29111
I '.)
SUB -CONTRACTOR AGREEMENT AUG U U r.)Il
PERNiII-THNG
St. Lucie County, FL
C have agreed to be
(Company NameAndividual Name) n /� n
the E(� G %1` i C4 Sub -contractor_ for - (�I eneF.f ( c�nK� tvL
(Type of Trade) • Q(,P,rimary Contractor)
p
For the project located at o 9 4-5 8 qS n e-` S Y k*-7k ,'-J)i-b ✓Q, �7 13(p9, �
(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 (Qoatiner)
�ia>;�i c L��7i Prest.
PRINT NAME
CO CERTIFICATION NUMBER
State of Florida, Comty ofjj'X—/
The foregoing instrument was sign fore me tbt9 day of
who rly Imown or has produced a
STAMP
PETALPIKE
MY COMMISSION # FF 957703
EXPIRES: Febniary7,29M1
k4fn 1; -ri Ryij
SUB -CONTRACTOR SIGNATURE (Quaiin^^er)
k(ePV('fJ idI
PRINT NAME
Ee130og'o54-
COUNTY CERTIFICATIONNUMBER
State of Florida, County of \ L
The foregoingiastrumeotwas signed before meth y o
14" yJ 20
wh aaay (mownn Ior has produced a
EXPIRES: FebWry7, 7020
tlaiCeaitea auatn W WYae�Mma
yzkC
Revised I1/162016
PERMIT# I'7O3fd� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNEL
BUILDING PERMIT BY
SUB-CONTRACTORAGREEMENT St Lucie Count%/
have agreed to be
(Company Name/Individual Name) - _
the D11"1hA Sub -contractor for DLR Cas.�s�� Cons'Fru zyvg lltc.
(Type of T (Primary Contractor)
For the project located
(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.
elv,s�L
CONIMCTOR S GNATURE (Qualifier
,ceI-e-
PRINT NAME
COUNTY CERTIFICATIONSIDE�
Slate of Florida, County of ./.L�fif-i�-/t ..
Ttforegoinginstrummt was slgodbeCore me this of
produced a
SCAMP
PETALPIKE
MY COMMISSION # FF 957703
ieXMES: Feduary7.20N
9asioatrtn.—am7dNotati'.&orKaa
Revised 11/10016
4S,ONTZRACHO:R�SIGNLATURE (Qualifier)
(laYK45 d(���
PRINT NAME
CFC Z7g25
COUNTY CERTInCATIONN''��UB NUMBER
State of Florida, County of 5, f-
i
The foregoing imtrumeat was signed before me this - day of
IAS'I— 20 7 by'—IUAJ2 f k�Q\\O_b0.U.S�LN
who is personally (mown X or has produced a
as identification
oM�e sza� STAMP
Signature of Notary Public
�revt�a R.17eCar0.. -�-
Print Name of Notary Public
WCOWAINI N0FP2r3f90
�I[i�s.Iuyof,�to ..
NarNaaa.N .�' '