HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
PLANNING & DEVELOPMENT SERVICES
10 Building & Code Compliance Division
SCANNED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
ar —All"914 have agreed to be
(Company Namelijidividtail Name)
the - —Sub-contractor for Ple4�40,0 X'
(Type urTradc) 111r.nw, (jmmaonri
10�-5 - 021 - 0, / ewwI5
For the project located at -3qdLl 40� 916-p- , &,qz: 4kac�,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 of Sub�contmctor notice.
2-0.�=UIVK io
P-W&A,( P4114r
PRMT NAW PRJNTN�z
666 '113 7
COUNTY (7ERTWICATION WHIIER
STAMP
4-
PHmN'.m,.I`N.M�P.Wx
ROGER A. PRIES'
B�aag MI, Still at Rad"
c # Go OiDT40
U, C.
601W
9997-5
COUNiTY CERTIFICATION NUMBER
i�.t � ft�m bdo� d, d
P,i I
VDAVID RAYMOND PRUE
NOTARY;=O
v-STATED 2LORIDA
ComaAFF192675
Expires 1126/2019
STAMP
SCANNED
BY
St. Lucie County
PERMIT 9 17(9 7— 01A16 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r., have agreed to be
Narne)
the 1)14�WAA11641 Sub -contractor flor IE161114,61,9 /<.' P
(Type orTrade) (Printary Contractor)
For the project located at
Address or Property
It is understood that, if there is any change of status regarding our participation with the above mentioned
prajcct, the Building and Code Regulation Division orSt. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
EONTRACTqR SIGNATURE (Q0.111i,r)
- 4,r
6-66 i�71-.NVA4Z
COUN rY CERTIFICATION NUMBER
Stole of FI.rIda.C..nIy.fj7 �-//
The fuMulog instrument was,igned before me IhIV4�A,.Y.f
Aw-elfl' 2ul—Zb, Afear
who is personally known I/or has produced a
23 Ideas, lead, fl�
e.rN.t.6 Public
ROGER A. PRIEST
NIIIIV Pub"O - Stal' at Florida
Commissloo is rG. 010740
MY COMM. E,pinis NOV 1. 2020
()" e; t —0 Y� — —
SUD;7TRACTORSIGNATU KnJU2111CF)
Le, 7'.
PRINT NAAIE
C&OJ3494
COUNTY CERTIFICATION NUMBER
Stole of Florida. county or Polk
The larcgoing Instrument wassigned before nor this 14� day or
who Is lormn-Ity known —Z.,. has produced
as iden tificatims.
911%.NIP 62��-z
'SignRorr of Notary Public
Lwm !!E Ala�6tt-
Print Name of Notary Public
oz, - R."s
LINDA E BALLIETT
(
Commission I FF 169094
My Commis3ion Expires
OcloberI16.2018
STAMP