HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTAM
PERMIT# 3Q ,f\1II ISSUEDAT
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
WELDING PERMIT RECEIVED
® SUB -CONTRACTOR AGREEMEN
SCANNED DEC 44 201E
BY
St. Lucie County ST. Lucie County, Permitting
CA
(Company NanngIndividual Name)
the hq Sub -contractor for
(Type of Trade (Primary Contractor)
For the project located at 3000
(Project
or Property Tax To #)
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed before me this _LL day of
20L wb
who is personally (mown* has produced a
as ldentitication.
C_-�— STAMP
S gna am of Notary Public
Print Name of Notary Public
KAREN S. NIELSEN
`^- State of Florida -Notary Public
Commission # GG 207484
My Commission Expires
'•,,,�,"� June 12, 2022
Revised 11/162016
SUB-coNN%TRACTOR SIG A (Qualifier)T -
PRINT NAME
I ()q2 ,
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ae.-- f�
tThh�e foregoing
,,inxtr nment was signed before me thil day of
'NLQX`-r_.c , 20 by s
who is personally ]mown _or has produced a P L-L
as iden' cation.
STAMP
Srgnalure of Notary Public
Print Name of Notary Public
vu, ,,,,,,Y P ••••
STEPHANIE MUI
Notary Public -State of Florida
,?
Commission # FF 951931
•„an„c`
My Comm. Expires Jan 20, 2020
the
PERMIT #
(Type
For the project located at
\-S16' C)asCo
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
L
IVED
2 2018
Ey, Permitting
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
for
Street Address or PropeEty Tax ID #)
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of 611'.
The foregoing instrument was signed before me this a day of
J AA I by Catty f/n�
who is personally known or has produced a '1' Y L
identification.
I9737
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5-t LucI
The foregoing instrument was signed before me this day of
20�by CVf'V YVI Z24el/D
who is personally known / or has produced a
as identification.
�/v+r�
u -.,,.�...../v ifA/
Npr'F'�3
STAMP
Signature of Notary Pu(Ifc
Y� nature aCNotary Public
: EXP02ES: December 1S, 2020
7��j
Ell'eanmanm,NMary Pubik Und rLJ ! ///1/[i'a
/J/�� /1
LlliN
Print Name of Notary Public
Print Name of Notary Public
�1•¢G6,I
Danielle Biglin
COMMISSION IFP01099
—
EXPIRES: August 25, 2019
www.AARoNNOTARY.COM
Revised 11/16/2016