HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie Countv
have agreed to be
(Company Name/Individual Name)
the
(Type of Trade)
For the project located at , 3aU a
(Project Street Addr,
Sub -contractor for Cd'( . A&,_G/ ,f 9 �
(Primary Contractor)
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.
CONTRACT TURF (Qualifier)
CAri s3 „ ,y Tr>, 4�
PRINTNAME
O&e, M a92s
COUNTY CERTIFICATION NUMBER
StateofFlorlda,Coontyof ✓) mrs<-
The foregoing Instrument was signed before me this ak/day of
_)urn 20_LbbyNrir&ig) iTev t.�{
who Is personally (mown or has Produced a
asidea0ficadon.
i/ I A4.t1 _ _ STAMP
Signature of Notary Public
Print N=.ofNofory Public '
� I C %Commissan1 # GG 061318
.'. ' 'Expires March 30, 2021
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Revised 11/162016
SUBCONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The r0r pb g b stremtntwassigned before me this_ day of
.20�by
who Is personally (mown �or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
ZIVIT p
f'+
PERMFr# I ( ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance` Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
JAK, Inc. dWit Applebee Electric have agreed to be
(Company k ame/Wdividual Name)
the. Electrical- Serb -contractor for CST Unstruction Revelopment
(Type of Trade) (Primary Contractor)
For the project located at 3200 St. Lucie Blvd„ Ft. Pierce, FL
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
ng df a. G)iangeof Sub-contracwr notice.
CONTRACTOR..StGPt Vf URY.-((lualirier),
PRrNTNA�IE
GOUNIN-CERTIh'ICATION NUMBER ...._
stateoftziorida, Countyot _ — _.. .
Thefate�oioy inittumtnt was siltµ{dbifore mrf6fs�dap u[ '
?o_ Ila
who Is persooally k6diva—_—or.has bradurtda
s:
STA,1tY
stcoelureofNotary .Puh7ic
Not NA rat of Notary;Pablic
Oor,'std.l4�fM[Vt