HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTO`A-(3s-1a
ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
�' = Building & Code Compliance Division
' BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
(Company Namelfndividual Name)
the r— I e, C -- -; col Sub -contractor for
Crype of Trade) (Primary Contractor)
For the project located at k d 6S6 e,133
:(Project Street Address or Property Tax ID �)
SCANNED
BY
St. Lucie County
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.
�-
COYIRACCORSICNATURE(QuaRRer)
PRb1TNAME
COUNTY CERTHFICATION NUbIBER.
Stoteof Florida, county oflylj,, .wit
The[oregoivgivYrvnuot waaslgved before the [hE� dayof
5or.a .2o�,y��,woA a�k�oey
who 6 personally known _orbas produced. F L i) J—
asldend6nttev.
SCAMP
Slgvaturc afNomry Polk
Privt Nime ofNotary Publle
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NY 45 iWu72'e23
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SUBLONTRACCOR SIG TUAE (Qualifier) —
Eric L&rtro ,
PAINT NAME
2$�S
COUNTY CERTIFICATION NUMBER
State of Florida, County of r�• 1 4A ie
The foregoing foftrumcvt wan slgneA beforerue thb I dayof
Hv,e 2015b�y Ecic Le-Foytrnea,t
who is pemnnalyknowo Vorhns pmduceda
asrldlmarsntfo1n.,
S� "'L wer SCAMP
Sigupture of Notary Public
�1s;S U10oI(RJ
Privt Nameo(N�.
Rlig
tate of Flunda
eyn GG 165665
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ISSUE DATE.
PERMIT' �0�1��5-1�
PLANNING & DEVELOPMENT SERVICES
S Building & Code Compliance Division
•
BUILDINGPERMIT
SUB -CONTRACTOR AGREE51ENT
have agreed to be
Name) \
Sub-contractorfor
(Primary Contractor
For the project located at X a03d Sy 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.
CONTRACTOR SIGNATURE (Qualifier)la r
PRINT NAMIE
COUNTY CERTIFICATION 9UM8ER
Stara of Florida, County of G.1.1.i C
dayof
rTheforegoing mairvmmtwaaaigo`rd fiefortme Wis�
SQV'k .20*,bY
who 1, peranaa0y linown_oebasprodueeda Ft' OL
Ca\sideotifiuUoo.
STANIP
Sigoaturc ofNoeary pu&k
II-d• n rw, � ,�Jc n
Print Name ofNotary PubBe
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SUB.CONTRACFOR SIGNATURE (Quabfier)
NA.1fE
�&
PRLNI'
as ao-9
COUNTY CERTIFICATION NUMBER
r�
Slateof Florida Countyof� •��• 1.1�G�
The foregoing Instrumentva, signed before me thls!:J�doy of
�]4-Me— .20Aby M&e,
w is permnatly Nno crbaa produced a.
as l`EenUfQ/.5unoa
_1lJCLfYI. V N`lM u/`- _ STAMP
Signature of Notary public
Print Na
USAMANN
xq. MYCOMMISSIONW207S8
EXPIRES:. March 8; 2019
' {dej�h�" BondedTNu Notary PuUkUndeiwdters
JUN - 4 REC'D
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the
(Type
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMT
SUB -CONTRACTOR ACREFNIF.NT
Ljl 6-
have agreed to be
Name) �.,4 t(►1G.k%gq-
Sub-contractor for
(primary Contractor)
For the project located at ) DO
e SL r fe—
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.
CO.VrRAC�OR SIGNATURE (Qualifier)
LL :3rdyt 4(�t�vt�
PRINT'NAME
('OI NTY ('ERTtFICATION NUMBER
Stair of Florida. County of $:h. V'R,
'Che foregding instrument was signed before meihlf ` day of
$uv\t zol4by iX%A'!i,1a twk%^Y!9
who is Personally known _or has produced a 4'V JOL
aaidrnurr,tioo.
STAMP
Signature of Naiary Pu
psa s1..q\ylCy�,S
Print .Same of Notary Public
Revised 111162016
306 j?
COUNTY CERTIFILON NUMBER
State of Florida, County of :-FE rlr\r'1
The foregoing instrumrinfwas signeedd before me t!hi"sQUdyy _aof--
by
who is personally hnou,�or has produced a
.. LAQUtTA WILLIAMS
L
My COMMISSION N GG07833t)
• r EXPIRES FaErwry 23, 202t