HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT-11
the
PERMIT # ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
)/ C, have agreed to be
Sub -contractor for Uns rim Wa , Cm . l nC .
(Primary Contractor)
Street Address or Property Tax
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.
CONTR.fCTOR SIGNATURE (Qualifier)
COUNTYcq)r IJ3saJ IION R
State of Florida, County of
The foregoing instrument was signed
�before me this r—1 ,day of
2o�by Vi\n
who Is rso.ally known or has produced a�'
ast tlficanon.
STAMP
Srghatdri of Notary Public Ir
Print Name of Notary Public
LASHAHNAINGRAM
: ib; Notary Public - State of Florida
Revised 11/16/2016 +
• . r My Comm. Expires Dec 20. 2018
Commission i/ FF 177249
"•„100 Bonded through National Notary Assn,
SUB -CONTRACTOR SIGNATURE (Qualifier)
LEU 2Q
PRINT NAME
'ECk?;;M U/_zO
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed befbeforem� e this S day of
V I ,20gbby r71tffi W
A/
who is personally (mown h...or has produced a
as idMh_?
STAMP
Sign eof Not Public
J0lin
Print Name of Notary Public
JORDYN HIRN
�:• Commission N FF 997934
+: My Commission Expires
June 01, 2020
the+
PERMIT # ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Name) __J
Sub -contractor for C�YfVVCkS1h �d4.�n'�'if
(Primary Contractor)
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.
CONT OR SIGNATURE (Qualifier)
Chiriz-1 PAW ,Sfe%hse-N.-
PRINT NAME f
03So3
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of 1
The foregoing instrument was signed before me this l 0 day of
DIUDI 242_, by
who is tersonally known _or has produced a `+
as ikrifification.
STAMP
nature of Notary Public I
Print Name of Notary Public
� ,• :«� �� . LASHAHNA INGRAM
+°� .`� flotary Public -State of Florida
N : e - My Comm. Expires Dec 20, 2018
Revised 11/162016 %'or�dr Commission # FF 177249
°''�"` gontletl lhraugh Nalisnal Notary Assn.
SUB-�C/ME
O,N�TRpACTOR SIGNATURE
-�(,Q�uali/+�r�
�Y 1 11Ju
PRINT NA
C I UkQa Sa
COUNTY CERTIFICATION NUMBEr,Rc��
State of Florida, County of ref ai �/... h
The foregoing instrument was signed before me this I day of
`,�z1118by�
who is personally known �or has produced a
Kelly Kirby
n NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG170418
1916 Expires 4/6/2022
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