HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTthe
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
of Trade) ` '32,04 3W-i
37-10 3Z(s
For the project located at 3 zi b 3ze
(Project Street
Sub -contractor for
32(2
(Primary Contractor).
3 zt5 S, LWA(hw C
or Property Tax ID #)
oUANNED
BY
Inip county
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 V(Qaaer)
or notice.
-A l
CO CTOR SIGNATUR{
�I�A'1J416U3 �. (�G®(3gO�S
PRINT NAME
COUNTY CERTIFICATION NUMBER
StateofF7arida,CouotyotIrd jan avo/-
The foregoing instrumeat was signed before me tb[s A6 day of
mL (�
who Ispnai(y known or has produced a
a/s�(1dea�tmrasoa t // —p
/A STAMP
"`9id6ature of Notary PSNC -
�,►ph a. lK S tti�
Print Name of NotaryPnbac
rpveu'+
iJOLENE K. SOUTHWICK
A' 1 MY COMMISSION #FF079740
a1
Revised 11/162016 y?,?�a% SPIRES December 29, 2017
(407)39MIS3 FlorldallotarySemlcexom
COUNTY CEATn+ICATION NUMBER
State of Florida, County of
�c
5ggq?
The foregoing instrument was signed before methis /v dayof
who Is personally imovm.Kor has produced e
said tmration. xa�"I:;!o4t GLEMMRO(IMAN
MY COMMISSION # FF9MI66
NEXPIRES:
NotrySMIS
AMP
Si Lure of Notary Public
`: Ieft Rpj'f/IQa D.
Print Name of Notary Public
1.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the 0-ZC4.(z I Sub -contractor for V,_O� C'Aa —k-NjQfS GrON
(Type of Trade) 320(a 3201 52-17, (Primary Con ctor)
32.1-0 3z1$ / �L
For the project located at 3 Z 1 l0 3 Zo A 32 i 5 S • ti.oy&u tw (24 ailt IT 1�2cf�
(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 S -co actor notice.
Q. I
CONTRA OR SIGNATURE fr(Quualifier)
�R.*X)DO GL .04COVa&IJ
PRINT NAME
COUNTY CERTIFICATION NUMBER
S L'ONTRACfOR'SIGNATURE (Qualifier)
'S-
uqASn+�gA2V
PRINT NAME
EC BoI33O()q
COUNTY CERTIFICATION NUMBER
State of Florida, County of I! &d an 9-zVfiV7 State of Florida, County of 7Thd& 9 � vi&
The foregoing instrument was signed before me this LLOId y of The foregoing instru awtwas signed before me this U day of
200(0 F_. �]y\'X�Ib-�(—) &M 20,lby ;}-L7rker Yr•
who is naay known ar has produced a who is personally lmow or has produced a
a9ldenti6catia
SAME (Z STAMP
Siguturff6f Notlfiq Public
JOLENE K. SOUTHWICK
( � MY COMMISSION #FF079740
Revised 11/162016
`"oboe} EXPIRES December 29.2017
, ✓
(407) 398-0783 FlorldalloteryServiCe.com
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Art VCoffqAM3=2020
OTARY PUBLIC
ATE OF FLOR113A
tm# FF97WM