HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT[PERMIT # ISSUE DATE
the
For the project located
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
32,04 -; w 1
37-10 3zI%
Street
Sub -contractor for
2Z (Primary Contractor)
i
3 ZO S, Lys
or Property Tax ID #)
have agreed to be
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 Sit ntr or notice.
,a � q - ,
COATRACrOR SIGNATURE(QuOiaer)
B12da w. ,6G3 � . 6,�p>5074>
PRINT NAME
COUNTY CERTIFICATION NUMBER ��/
State of Florida, County of�U Q lam. �ivr
The foregoing instrument was signed before me this-kday of
mn_ by ` (1
who is p alb known ar has produced e
as identification. j // (��J �p q
.J�7 n J0 'R /�/ir x IM IA `I[`/ 1. SCAMP
'"Sf&nature ofNatery $y69c_ �_
Print Name of Notary Public
ezq, cc JOLENE K. SOUTHWICK
yt.
)' MY COMMISSION #FF079740
Revised 11/162016
+'?oo riod'O EXPIRES December 29, 2017
"w....,,...^'
(407) 398-0163 FlorldallotaryService.com
COUNTY CERny CATION NUMBER
VC
5go(g9
State of Florida, County of
-
The foregoing imcrumentwas signed before me this /e) dayof
M ,6.)l , 20D, by L ai
who is personally (mown x—or has produced a
aside tincation. ae°l'!!;b GLENNROM"
t MY COMMISSION#FFRM1S8
EXPIRES: October 1, 2019
`% �Ac a.en.so� a MetaohrySen�AMP
SPtililtureofNotary Public
rle nn Poin n
Print Name of Notary Public
i
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the 'k}r;CAI Sub -contractor for V& C'r1+I Sffo?e-fS circq
(Type of Trade) 32o(o 32o-) 32-1 (Primary Con ctor)
32.1-0 3-"IS PL
For the project located at 3 Z 1 to 3 Zo A 32 o S lom ,U tw l.(RLLit � C, i. rz e4./
(Project Street Address or Property Tax ID #) 314 4 q f
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 S -co acto of r notice.
_JU 1
CONTRACTOR SIGNATURE (Qaa9fier)
2RId1JLbN � - bzo�>GaN
PRINT NAME
COUNTY CERTIFICATION NUMBER
State: of Florida, County of �.�1 "dAa.f) i-w(54",1'"
The foregoing Instrument was signed before me this 104 y of
RIQL 20 [1by -': t(_ -r 0Y) E Gf`QAk -_)
who is naay hnowu _"or produced a
�Gt10o3va�}
COUNTY CERTIFICATION NUMBER
State of Florida, County of h�' tt1�r —8vo-
The foregoing Instrument was signed before me this — day of
� Za�)Frby)rkeP
who is personally Imowo or has produceda
as idmtifirat
STAMP STAMP
SignaturVi5fNot Public
JOLENE K. SOUTHWICK
•j i MY COMMISSION#FF079740
`'•--° r EXPIRES December 29, 2017
Revised 11/162016 :?ovtij
(407) 399-0153 FloridallotaryService.com
L . (Nlmd on
bec L. MOIAfafl
NOTARY PUBLIC
STATE OF FLORIDA
Ca ritrl# FF976M
EWM 3129AXZ)