HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
6GANNED
BY
;t I uriP County
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for i itf Cil+a SvNic-es Groo
(Type of Trade) 32o(o 320-) 320-. (Primary Con ctor)
32,1y 3z13 �/j� tPL
For the project located at 3 Z I to 3 Zc A 3215 S, �..ot(Uti:o CAUL `[ qC mrzc4�
(Project Street Address or Property Tax ID #) 3 y q L{ /
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 S -co actor notice.
CONTRACTOR SIGNATURE (Quaafier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of I ,A GiA n-t 17Li' State of Florida, County of�Atxr ^p,rL
The
foregoing instrument was signed before me this Loy of The foregoing fustmoatut was signed before me thiis� J day of
Nil W. 20Dby 'Di' 't- Cyl �. l�rLr�h1%1 20 l�, ACnn r: �tlrk[rl �r
who is 4pally known produced a who Is personally (mown or has produced a
EC 0003Ua`t
COUNTY CERTIFICATION NUMBER
as tdentifiratiO
STAMP a STAMP
SignaturkofNeffliPublic
�PpY •�4 JOLENE K. SOUTHWICK
°•! MY COMMISSION #FF079740
D(PIRES December 29, 2017
Revised 11/162016 '"••'.?;ap F°�
(407) 398-0153 FlorldallotarySemice.com
L- Nloill+m
rublic Elearor L Mo 4m
Aff PEWM3=WM
NOTARY PUBLIC
STATE OF FLORIDA
Calm* FF9'76695
PERMIT # ISSUE DATE
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
3zl 0 3Z19>
3216 3Za�j
(Project Street At
Sub -contractor for
22 (Primary Contractor)
(
3z15 S.L
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 vmli__
or notice.
CO CPOR SIGNATTUR
�(2P'tJC�6tr3 L. I.LU®�SD�S
PRINT NAME
COUNTYCERTIFICATION NUMBER �,�/'
State of Florida, County of lµ. Uv
The foregoing instmmeut wes signed before me this -k-day of
zoJ�1 riyr2Utm-'san
who R p ual(y Imowo ��or has produced a
/assii'den/tlUcation.
,J�70,k.P `R Yi�i.iLl1�A'1[./L STAMP
"Sldaature of Notary kWc� -
1J'L'V A.
Print Name of Notary Public
PL"
%,o"•"--'•�°c�; JOLENE K. SOUTHWICK
MY COMMISSION #FF079740
Revised I1tt6f2016 ?av!P EXPIRES December 29. 2017
(407) 3e8-0153 FlolidallotarySer ice.com
COUNTY CERTII+If:AT[ON NUMBER .
VC
3ggy9
State of Florida, County of
The foregoing Instrument was signed before me this A) day of
zoD by G E,t61U
who Is personally known x_pr has produced a
mid tifirsaoa xo5�', ,¢N GIPNN ROM"
MY COMMISSION► FF0169
*� PEXPIRES:
ohry&n'iAMP
S&uaca1NoftsryPubIIc
P41 McLn.
Print Name orNotary Puouc