HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
-aJ
1-1kZ_ OLogq I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Indi duav' I Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
the tA��- Sub -contractor for
(Type of Trade) (Pnma Contractor)717
+L-A. �Y2asuV�
For the project located at _31bp 1cn a t Isb a .L-1 K 1 5 �� COS}
(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.
C ACTORSIGNATURE((Q ifier)
PRINT NAME
COUNTY CERTIFICATION NUj)MBER
State of Florida, County of t,(J Pi
The foregoing instrument was signed before me thisq2o day of
ZM 0 - 20j, by
who Is personally known or has produced a
as idenfific '
ore of Notary it. STAMP
✓1 i fl A
ANNIE LAPRADE
My COMMISSION a FF224737
EXPIRES April 27. 2010
Revised 11/162016
e
Sll�ONTRACI'OR SIGNATURE (Qualifier)
PRINT NAME
LI z Lo
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST• LC/C/er� /'/
TheefQ
foregoing instrument was signnee{d before me this Ed y of
F.-
who is personally known /C_ or has produced a
as identification.
--gig.ature of Notary Public STAMP
Prl " Mryl' COMMISSION R GU 089M
~a° EXPIRES: April 2. 2021
': ryo.f �$.•• Sooded Ttw Notary Public UNwirlim
]?LANNING & DEVELOPMENTSERVICES
HuRdingCode Compliance Division
--&
the,
Vor the project located at
it is understood that, ifthere is any change of status,regaiding our participation With the
project, the Building and CodcRegujation Division of Lucie County will be advised,
ming of a Change of Sub-b-contractor notice.
CON'TIFACTORSIGNATM
PPmMA1Vm
sb�>-
COUNrY CERTIFICATION NUMBER
SW6 of Flmclai County-i�-t e-
The
2-1(:/ by
who is PaSQn2nyImoWA,-Zo"jor producw a
aslIIentin Hai
STAMP
X! Of:
Nabryftbie
�
PrIntl(ame.orNotarypublic
ANNIE 7LAPRADE
My COMMISSION # FF224737
3 P.127 ()Iq
.d.
- Im .... rF EXPIRES April 27.2()Ig
Revisal
SUB-CONTP-4CTCUSTGNATURS Qhw-m
to be,
PERMIT It f 7 I Z _ O / fJ L/ ISSUE DATE
PLA NIV& DEVELOPMENT SERVICES
Building & Code Compliance IlDivisiOn
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�a gala ��uwt>7r✓+q £ Ja�a / � r C
the V l N1 w
For the project located at
have agreed to be
Sub -contractor for C .4144t (0A14(In010^J Of Ile' ,�'�141uL
(Pri ray Contractor)
Q;A.4,,J �V41,%,
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.
CONTRACTOR SIGNATURE( alilrer
I )aVO
PRINT NAME
30 rj`L CCfiG 15J1.4 5.30 .
COUNTY CERTIFICATION
'N�U /lMBER,I State of Florida, County ofShc—..l,(. e -
ThTe foregoing instrument was signed before me WVts !�' day of
who is personally imown �or has produced a
as ldentill
a ore of Notary Public
Print Name of Notary Public
ANNIE LAPRADE
. MY COMMISSION u FF22473-
S•, :
yhp,tii;• EXPIRES Apid 27. 201H
1:01, 3s.W :: FbnUNcp�Scrxx cur
Revised 1111612016
SUB -CONTRACTOR SIGNATURE (Qualiaer)
.J af�✓1; rl eV PRINT NAME
COUNTY CERTIFICATION NUttIRER
State of Florida, County ofc:T 1Q.
The foregoing Instrument was signed before me this day of
\)'�e_._120aby1t.L1Po��
who is personally know for has produced a
asidentification.
STAMP s STAMP
Signature of Notary Public
^� r
Print Nome of Notary Public
ZBonded
STEPRANIE PARE'MY COMMISSION#GG200865
WIRES: MAR 27,2022
through lst State Insurance
PERMIT # I -� i Z_ 068 y ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I // Atj
have agreed to be
(Company Name/Individual Name)
the R I)t7F yd Sub -contractor for OfA- zl C. LL(2
(Type of Trade) ` / n (Prim , Contractor)
For the project located at S� 0 0 y� SW �aX � f
� � t ` , 61-z9q 1�Ce, 157-9 yT V 6
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.
L� d // )
CONTRACTOR SIGNATU a'
ijaU� (10wNCs
PRINT NAME
3005-f�- (U,6 1r5zw 3o�
COUNTY CERTIFICATION NUMBER
State of Florida, County ofSLLVJ-C-
The foregoing instrument w s signed befl1orre mee/this
� q) day of
�y�20yhyTl/lp `W/le,
who is personally (mown V or has produced a
as idMe.
STAMP
S- re of No
�lt L&ad
Print Name of Notary Public
P "- ANNIE LAPRAOE .. 9Fo:
MY COMMISSION # PF224737
° 7a EXPIRES April 27. 2019
JCAJa'vU::f3 FbMrNv)a•y5mvcx cur
Revised 11/16/2016
SUUBCO CTOR SIGNATURE(Qua%lifier)
G 1L- (✓)-7'10V4
PRINT. NAME
C'C0 i3a7a yy
COUNTY CERTIFICATION NUMBER
State of Florida, County of Z I} L tqEl e--
The foregoing instrument was signed before me thisp?o day of
who is personally (mown _or has produced a -
as identification.
n �-,
STAMP
•••:*�>"• SHIRLEY K. SEMENDERFER
Commission #FF989655
Expires May 8, 2020
sordid Tlvu Troy Fain bsuleaca 900-385.7019