HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
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" Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Com any Name/Individual Name)'
the o;f 61yi Sub -contractor for
(Type of Trade
For the project located at b 1 CJU
(Project Street Address or Property Tax ID #)
SCANNED
BY
St. Lucie 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 Sub -contractor notice.
CO CTOR SIGNATURE(Qua J r)
PRINT NAME
COUNTY CERTIFICATIONNUL E
State of Florida, County of �hC�
The foregoing instrument was siBJ��d\before me this 1L day of
av 20�by ►J:XAXLg_ �,
who is personally knownv or has produced a
as identification. of Q.--
x*��M' STAMP
'"� Sig aturpu6h'c 1�
. Print Name of Notary Public - --
<�•�.,; T LAS4A4NAINrrRAM�
ZNotary Public -Slate of Florida_My Comm. Expires Dec 20.2011
Bonded through NaonalNtAary U
Revised 11/162016
su&cONTRAcroftSI AT (Qualifier)
roCOve G �G J45
P NAME
/02 v
COUNTY CERTIFICATION NUMER
State of Florida, Countyof Ifni- LLA.6-e-
The foregoing Instrument was signed before me this t, day of
Neven,bOr20 (-1, by -fhe , ore 11 IQ
who is personally known _or has produced a.[ nvw/] f "Cys LI CCY7`dL
as identification.
L k V u.CMM STAMP
Signature of Notary Public
NICOLE ORTADO
c NOTARY PUBLIC
STATE OF FLORIDA
,n,� Comm# FF180038
19�0 Expires 12/MO18
o -ot33
PERMIT'# ISSUE DATE
(Company Name/In d
the r G /
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
viuum ivamcl
Sub -contractor for J ewa,4. C %s'
(Primary Contractor)
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.
C4DN`FRACTOR SIGNATURE (Qualifier)
PRINT NAME
e_ 0 l, 5 -?3-, 5 �
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'Z�JP TRA'r—
The�foreegoiing instrument was signed before me this \ day of
who is personally known _or has produced a
as identification.
TZ �@ _ � " v� �` STAMP
Signature of Notary Public
Print Name of Notary Public
•••• STELLA M. HUNTER
P��` Notary Public - Slate of Florida
ell
; Commission # FF 180552
'= PD; ' ., m.� Expires 'an 23, 2010
Nolan
Revised 11/162016 -'
.� SUB_ O ORSIGNAT (Qualtficr)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of V�,AeN "^
The foregoing instrument was signed before me this \ s�day of
who is personally known �r has produced a
as identification.
V\ STAMP
Signature of Notary Public
Print Name of Notary Public
W;!p"e, STELLA M. HUNTER
Notary Public • State of Florida
Commission # FF 180552
o, My Comm. Expires Jan 23. 201° 4
uv, •,•n 1hrocph National Nolan