HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
the (Type Sub -contractor for
of Trade)
For the project located at
��!i /shave agreed to be /
anw
(Primary Contractor)
(Project Street Address or Property Tax ID #)'
1-3
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.
CONTRACrOR(Qualifier)
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PRINT NAME
�A b'gr
COUNTY CERTIFICATION NUMBER
State of Florida, County of�cu-i t o-e-r
ment�w(as signed before me this �� ((''d''a�yy� of
2Ili byS_ D/J�LU.Q. 4--FU
who is Pe sonally known
aside cation.
`• Store of Notary Public
Revised 11/162016 yMYRCEONMEMEISESIOENIS#WGEGR01T69
EXPIRES July 31, 2020
NUB-CONTRACfORzSfi.NATURE (Qualilicr)
-r& 6 'eWIs
PRINT NAME
1��0!
COUNTY CERTIFICATION NUMBER
State of Florida, County of ll,--6 I V-(2/✓
The foregoln instrument was signed before me this � day of
who is personally (mown �C or has produced a
ei4`%1'�' "•" 10MBERLYF. FARROW..
c MYCOMMWJONiFF")0t'
•• roi WIRES:J)Iau21.2*,
•iFOi��OP•` Bea
ded Notary Public Undeiwdfele
I
the
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINGTERMIT
SUB -CONTRACTOR AGREEMENT
Name)
Street
Sub -contractor for
or Property Tax ID
Contractor)
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.
wrv■14 l VYebbWNATURE (Qualifier)
PRINT NAME 'y/
u � 0
COUNTY CERTIFICATION NUMBER
State of Florida, County of A�Idj P4_R-L7C.V_
trument was signed before me this day of
24�, by i \ 6 SKX k-Q
know nVor has produced a
T
of
3o0 ')'o
COUNTY CERTIFICATIOONN NUMM/B�ER�
State of Florida, County of c _ CULL %1 �?t o'er
Je�o/rc�g�oi�ng, i�n�sVumeat was signed before me thi �s�(/n� �day off
o �s rsonally (mown �n has produced a
••�'- RENEE E EISWERTH ;w'+'�' •. REPIEE E EISWERTH
:f• t,•,
_ • MY COMMISSION # GG016744 _ MY COMMISSION # GG016744
Revised I1/162016 � Ala EXPIRES July 31. 2020 '?i�'+'-'+` EXPIRES July 31, 2020
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