HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTRECEIVED
PERMIT Al _ I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Don Green Electric / Donald B Green have agreed to be
(Company NameAndividual Name) i 1 � �—.
the Electrical Sub -contractor for 14 ?or cq FAeTDit y
(Type of Trade) (Primary Contractor)
For the project located at
rf, s7ree7-
Street Address or Property Tax ID #)
12 7818
Department
e County
•l,q (a08 ol"Oov(p
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
CO RAGTOR SIGNATURE(Quu0fler)
PRINT NAME
C c.
COUNTY CERTIFICATION Nu BER ^-�
State of Florida, County of � (/
' �foregoing lasirnmentwas signed bergre use this yof n'
l—� 20JS by
who is personally known _or has produced a
-- — --- - ns ldmtifimtiaa `
1 naturcof tory Public - -
STAMP
SUB-CONTIIACTORSIGNATUR• (Qualifier)
Donald B Green
PRINT NAME
2q-Tz0
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing instrument was signed before we this Bth dayof
February yB 18by Donald B Green
Revised 11/162016
, ;; :'•>y AUDREY 0. HUMPHREY
,,. ,- MY COMMISSION Y FF 174772
A. y4 EXPIRES: March 6. 2019
� •,R11yg• Bonded Thn lblmy Pubre Undeiwiten ,
who Is personally
SCANNED
Sc. ZuCe COUn
`Y
JOY CHRISIINE COPE AND
My COMMISSION aPF FS48042
EXPIRES: JAN 05.2020
RECEIVED
FEB ? 2 iiii8
PERMIT# I I ISSUE DATE
TrItting Department
St. Lucie County
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have
the —A-1 i ) m r Sub -contractor for
For the project located at 1 bS / V • 39 -r St -,No `ky Ub t �k 1.pl
(Project Street Address or Property Tax ID #)
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.
NT SIGNAT[1RE (QuW(Ber)
�/cinn t S �, Mn1/J
PRINTNAME
03c I t� �s
COUNTY CERTIFICATION ER '',^,
StateofFlorldo,Countyo ^ V✓!�
The foregoing instrument was signed before me this AP4.y of
b ,=e►3/2bJy'WMJFS �2,�wn/
who is personally It. has produced
Revised 11/162016
STAMP
e
AUDREY B. HUMPHREY
:r '
MY COMMISSION tl FF t74772
»•. :P9
EXPIRES: March 6, 2019
Bonded TNu Notary PuNic Underv+rders
za6ll��Al& -
UR-CONTRA OR N Q iaer)
�Zbet zUd1U' r_'
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Lu CIS
The oregoinginsbrumentwas signed before -me this—L day of
(Ka( 20Ir`bpy ]6Qlf �tlrlltiR'�
who is personally known t°r has produced a
aid i caEon.
2:4 STAMP
signal ureorNotd4pabue
Print Name of Notary Public
—---_og _ USA_LESTER
NOTARY PUB0C -- --
STATE OF FLORIDA
r, Cwvrd)GG127647
�Hce t Expires 7/2412021
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
FEB 1 2 7618
Permitting Department
St. Lucie County
D W_90MA 62 l ^i C have agreed to be
Company Name/Individual Name) _
the V u r4C Sub -contractor for 01� Po rC al ' A" eTD 2 Y
(Type of Trade) (Primary Contractor)
For the project located at Z 05 :3 9 :5 -e- i9 0 8 O l4 a o(�
(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.
CoN CTOR SIGNATURE (Qualifier)
-3Av-,L53 f3fA-n/
PRINT NAME
COUNTY CERTIFICATION
Stale of Florida, County of
Th foregoing instrument was signed before me this j&day of
201'4�by
who is personally known _or has produced a
ZIden anon.
Z—._ __STAMP
of a. ry a IIc U
-- ��
Print Name taryP biie
AUDgEY B. HUMPHgEY
'r + MY COMMISSIONy FF 174772
Revised I I/162016 =5•. cyI EXPIRES: March 6, 2019
A;,i\�' Bonoetllh ftypebk Undernmx�s j
SUB -CONTRACTOR SIGNATURE (Qualifier)
SCOTT a2r1tv1V
PRINT NAME
Cr+Cjf3, 3 6Vr Z;z39e�-
COUNTY CERTIFICATIONNUMBER
State of Florida, County of c5!-' Lff (Ash
The foregoing instrument was signed before me this M lh'day of
,lybruin201&,by SLt644-_8Mr%i1
who is personally known�Lor has produced a
as identification. STAMP -
L,atureofNotary Public U
b rr>1;n MrcluIt� T2ulac
Print Name of Notary Public
KRISTINE MICHELLE TAYLOR
'1 k; State of Florida -Notary Public
y �= Commission # GG 155618
-,?t ,+i'c MyCommission Expires
October 29, 2021