HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# I --�— r 1v// / ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Project Street Address or PropWty 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.
;�' A'�'
IGNATURE (Qualifier)
P A E
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof Lla•Q
The
�forpegoin�g instrument was sig before n e this 30 "day of
1 201L by 1
Who laAer"maliv known _or has produced a rya((
COUNTY CERTIFICATION NUMBER
State of Florida, County of 51 CA --A.
T^he �forengoi'ng instrument was signed before%day of��
' 1 2of%;--by r�'S
who is personally known _or has produced a Ll D
as id oti cation \ lastntification.
STAMP ' /' STAMP
Sign ofN t ryisS' n tureofNotary Public
E0106
Print Name Notary Public Print Name of Notary lublic�
4`°��b�4 M901Cmdelo a ""' LASHAHNAINGRAM
$iota ofHorida _ `� .�`�? Notary Public -State of Florida
�c g�My Comfil!Wfin&p[les 03115121119 �,o` My Comm. Expires Dec 20, 2018
4oPr�P COaMISSIM Na iF209703 �•- Commission # FF 177249
He"aul Notary Assn.
Revised 11/162016
the
PERMIT#
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
For the project located at i s 1 �UGrOAA o
(Project Street Address o rope
Tax ID #)
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-t;�ractor notice.
11
COUNTY CERTIFICATION NUMBER',`
.S State of Florida, County of -WAL
The foregoing instrument was signed before me this I/'1`daayCCoff
20 6' by l..Jl�v 7
C*O.
ke
owu _or has produced a,
tion
STAMP
tary Public
Print Name of Notary Public
"-� �•�-
LASHAHNAINGRAM
t:otary Public - State of Florida
PAy Comm. Erpires Dec 20. 2018
1%t'o;
:;'p•••
Commission # FF 177248
"•_
F
Sone- n ltrsuna N it oral Notary Assn.
Revised ll/16YL016 r"'
0 ,1 L3l l2ZlG
COUNTY CERTIFICATION NUMBER
State of Florida, County of mQ ch lei
The foregoing instrument was signed before me this U V dayof
_
kal 20�,by �1,I�UYI) l �Y�C'f�
who is personally known or has produced a
as identification. ,
STAMP
gnatu a Nob Public
Print Name of Nolaty Public
-°, �=......LNpiRT?� G203770 2022cr"� insolence
j
the
PERMIT # I -7 6/77 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for- {IA
( LL (Primary Contractor)
For the project located at
(Project Street Address or
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- on —tractor notice.
The
who Is
meet was sigu\�,,before we this /day or
two _or has produced a U 0
LASHAHNA INGRAM
Notary Public - State of Florida
c
My Comm. Expires Dec 20. 2018
Commission # FF 177249
hroagh National Natary Assn.
SUB•CO 7 pR SIGNATURE (Qa
YJFgO �.Qy z - ae C(`'O".Q
PRINT NAME --
COUNTY CERTIFICATION NUh1BER
StateorFlorida, Countyor ) (,U(
�The goingtnstamnt was signed before methis 16ly�0
20Jby_2�QLv,kt I *�tCI^'
Cr—
who Is personally known r has produced a
ads ids ent[n�cadoom
STAMP �I ( Jt iu .Q P QD� STAMP
SI tare o`�Notnry ahllc
I-pnw lq
Priat Nam¢ or Note Public
Ifs b'�)
TANYA L NEVILLE —
MY COMMISSION # FF 1578K
P: EXPIRES: October 12, 201P
- Bonded ThrvtlotafyPoWc Unrr nr;:.
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