HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTr-'
�z
PERMIT # ISSUE DATE
(Company Name/Ind'.
the az oAl. Re
(Type of Trade) '
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
Vao(� gaol 521Z
3z10 3ZIeb
32) b 32oel 3 2t5 S
or Property Tax ID
6GANNE®
BY
:+ I I16P County
(Primary Contractor)
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 Su ontr or notice.
CO RACfOR SIGNATURE (Qaah er)
1�" t2pt.yc�ott;i `�. ��pso'►-5
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of l ( )ia n K( \'
The foregoing instrument was signed before me this L�day of
20f1, tir if n
who is p lly known _or has produced a
as identiacation. JJ
° Y STAMP
I oatore of Notary Public �
_ IPh0' K Sa ht��9
Print Name of Notary Public
jio.- cc•: JOLENE K. SOUTHWICK
'€ MY COMMISSION#FF079740
Revised 11/10016 ?e^ n? r EXPIRES December 29, 2017
(407( 398-0153 FloridallotarySewice.com
COUNTY CERTIFICATION NUMBER
State of Florida, County of
_PL
3ggy9
The foregoing Instrument was signed before me this Id day of
M /9 / 2012by G ICW�
who is personally known x„or has produced a
aside titicatioo. 16e..�;4r GLENNROMAN
MY COMMISSION t FF 923188
v r+ EXPIRES: October
br 1, 2019TA t�
S tnre of Nobiry Public
Clingy Roifr cLn.
Print Name of Notary Public
[PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
tF' Ct6 -ric Znc_ have agreed to be
the 0 n'ml Sub -contractor for
(Type of Trade) 32o(o 3207 52-11.
Sala 3-mS
For the project located at
yt% C:zw-"'WTC-t5 Gwur_
(Primary Con ctor)
(Project Street Address or Property Tax ID #)
3y44(q
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.
t Q Q1 I V
CONTRA OR SIGNATURE (Qualifier)
2a"w zo
PRINT NAME
COUNTY CERTIFICATION NUMBER
Sf1B-CUNTRAcrORSIGNN�ATURE (Quanfier)
9���17ar�.er�
PRINTPRINT NAME��•
Lc om3100
COUNTY CERTMCATION NUMBER
State of Florida, County of I n &A kz-vd'1'1 _ State of Florida, County of 1 �1{I Wit\ j�� p�
The foregoing instrument was signed before
me this la& of l The foregoing instrument was signed :before m(elthiiss 0 day of
I t am, .20Dhy I�ILV`r W E. ('}1(�'Y1t� �('tGG. .20nby �LuL A P-'-UUs^kfri �r
who is p�er�onaay known _or Gas produced o who Is personally (mown �r has produced a
as identificat'e
STAMP 01 A kv, STAMP
Signatureof NotIfey Public
RIAT ,w- L Mom l+oh
JOLENE K. SOUTHWICK
MY COMMISSION #FF079740
Revised 11/162016 oaP' EXPIRES December 29. 2017
'-?o. rv,..
(407) 398�-0153 FlorldallotaryService.com
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NOTARYPUBUC
STATE OF FLORIDA
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