HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Balm & Colde Compliance Dlvbion
BURDRgG PERNW
SUB -CONTRACTOR AGREENMff
Name)
SCANNED
BY
St. Lucie County
have agreed to be
the = J ip , Sub-contractorfor C—,yS'r
(Type of Trade) (Primary Contractor)
For the project located at
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.
GGc /so ?0/2L,
COUNTS CEtYMCATTON NUMUR
StateofFlotida,Co tyaf .4 lxtiP
The foregolag lnabvmmt v.lastgurd beforeme lbieZJLWay of
�zoaby ruff. Herr t�kt
wbota petrooaay�ewn orbu prodsteda { : - �
asidendHtadon.
c l�r STAMP
Signature of Notary Public `
sN e,T SARAR GREEN
Rotary Public - State of Florida
q,;6e' Commission P GG 037044
My Comm. Exams Oct 6. MO
Revised 11l16rLo16
'r-yt7- ti SOB-CUATRA�{.'rOROR
iFQRE (Qaallarr)
PRINT NAME
-lz-/, cm
COUNTY CERTMCATIOiN
Stile ofATorida, Cnmtrof�r ��� ` a q)
The�brstromentwassigaed before me 7. day of
by
wbob pessaawim ar Im ptodmad a _
.WO o" PcSlb`of FbNa
No�c
my eommm" 00 deaag�U
11xpimsoY2liml
STAMP
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) U
the Sub -contractor for Caa F
( pe of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of (\+ (fie
The foregoing instrument was signed before me this�211LOy of
,2nJ�byC.�lrf��4of�lnot-1 )�IeC
who is personally known _or has produced RbAAALIit (QM.FP
as id(eentificati//o��n. //11
' ll 1(i9-VlL.clwo., STAMP
Sigi atlire of Notary Public
Ira•••Y:P�e;•. SARAH GREEN
Print Name of Notary rblic i; �1°1' Notary Public -State 01 Florida
Commission # GG 037044
'.o(n°p••• My Comm. Expires Oct 6, 2020
,n
UB-CONTRACTO GNATURE (Qualifier)
1-by)6p. 1 open
PRINT NAME
ay(o�q
COUNTY CERTIFICATION NUMBER
State of Florida, County of ma�n
The foregoing instrument was signed before me this !Z� day of
a^�pinmla�rc .2a 7 by Lonnie- C"Iwgbsmo
who is personally known ,2Lor has produced a
as identification.
STAMP
i ature of NoUryPublic
�I �laP rX W 1l 5on
Print Name ooTNotary Public
fAVVILSON
#FF15
77
MY COMMISSION 20is
E�cPIPES November _.cemice.com'
r
Revised 11/162016