HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
(_-_ - ._,_,__.- W.j Building & Code Compliance Division RECErVEJ)
D D -
-- - -- ---- - BUILDING PERMIT AUGSUB-CONTRACTOR AGREEMENT G 3 12017
SCANNED
BY
St. Lucie County
have agreed to be
(Company Name/Individual Name) -
the Elrrkr•"rat Sub -contractor for LKcod Locp.
(Type of Trade) (Primary Contractor)
For the project located at
S.
(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 Sub -contractor notice.
QCON'rRAACTORSIGNATURE (Qualifier) ao"4T.'.t�_R SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
State of Florida. County of St. Lm—C t Q.. �7
7 The foregoing instrument was signed before me this O day of
uSl! byPkaZ Mc nA211
u ho is personally known Jor has produced a
Ientification.
\ STAMP
Sig�ati r notan•Pl li
DAVID JURKIEWICZ
MY COMMISSION # FF998909
EXPIRES June 05. 2020
Revised 11/162016
C_VAc`IBS 4qpr,&on
PRINT NAME
'LGIGL
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,CAf
The foregoing instrument was signed before me this Za day of
Rug,20j3 byt Cletrfts IiaDOruetetn
IT —
who is personally known _Zar has produced a
' enit9niti
STAMP
Signature of Notary Pu It
r ,
VI
Print Name of a, ry�C_ -DAVID. J EWICZ
• _ MY COMMISSION # FF998909
EXPIRES June 05.2020
(4e7)19tIL 153 FbriaDnaurvServlce.raa
RECEIVED
the
AUG 3 12017
St. Lucie County, FL
PERMIT # ISSUE DATE
(Type
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
For the project located at
(Project
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
A
Sub -contractor for
or
ICE
rn� ?-
I-7o�-ot;SC
'have agreed to
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.
92-L-4
CON TOR SIGNAT Qu her)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of &T.:.u-£' z 2
The foregoing instrument was signed before me this 3O. day of
��& I�ytS� 2011' by C_1A1<6 �lc �anti2�,
who is personally known Veor has produced a
as identification.
DAVID
EXPIRES June 05, 2020
SUB- ONT NA
(Qualifier)
�__Rober� L
e!!um
PRINT NAME
1. 1 86aa
COUNTY CERTIFICATION NUMBER
State of Florida, County of '.4, Luc 11f,
The foregoing instrument was signed before me this day of
U 20 ? by EW i� Loa loga—
who personally (mown _or has produced a
as identification.
STA1
Signature of Notary Public