HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT 0
the
0t*.
For the project located
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
�G • have agreed to be
(r Sub -contractor for
(Primary Contractor)
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,
Q /z�
C RSIGNATURE(Q offer)
PfRfI�N'T ��AIrH1�S
State of Florida,
regoiog InsWmentwu
20JSby
w is permvaay lmown or has pmdue
0NJ8&&0R SIGNATURE (Qualifier)
Jornv, Cc�.vrtar
PRAT G� 5 r S
COUNTY CEATII+IGTION NUIIIRER
State of Florida, County ofa-Luae ..ss'�
The foregoing iatWmentwes slgm ued before e Ebbs ` day of
h• AlOt_ 20_nby , �otny\CC.iytla;r
+/ e _ who is petsaveny koowv _.L/or has prnduced a
as Identification.
v as Ideendfloation..
�N��YLWEMf �' �.9(7MN�7'AMP P"d"� s I UP STAMP
SlgvatareofNataryc SlgoatureofNotary Public
Print NemeotNahryP tic Print Name of Notary Public
�q!i',y •.,,, AUDR[Y&HUMPHREY
:8 �',= MYCAMMISSIONOFFt74T72
Revised 11110016 '•i EXPIRES: Maroh 6, 2ot9
�`%�o7flA OondedThm NoW7PuNs:llntlarv+rders
��i�^�'� KIMBESLYJ COWELL
,u; Notary Public -State of Flartda
i ,��E Commission N6G 19968I
' �"arn�My Comm, Espires Mar 25, 2022
Bonded through National Notary Asm.
PERMIT# ��7f 0 i s 07DOS> ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the X?J' f 1'� ) n _ Sub -contractor for
pof Trade)m
For the project located at
(Project Street Address or
have agreed to be
(Primary Contractor)
�(ebs
Pievg R 3Yggq
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.
1p ae.u-L—
CONTRACCORSIGNATORn(Quoaner)
'txbrct_ LAJ u-ram
PRIVTNAME '
CO ANERTIFICATION NUA E
Stale of Florida, County of,Xffy Yam^�F,�v9 e offregoing inst� rument was signed before me thlsay of
Whe- 2o1by r rt_
o Is persouaay known _ar has produced a .�
as Identification.
ors. .
Signature of NotaryPuh
CJ�V %V RAN E- 1.14A rn`6 W1
Print Name of Notary Public
Rovised 111162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
Zl 2qL
COUNTY CERTIFICATION NUMBER
� State of Florida, County of n f Rpk�Lti
{�79
The foregoing Instrument was signed before me this ZU dayof
.20 U,by 9s'l-t' j3N/CL</
who Is personally known or has produced a
TIMM
rPOW
i 17040MON
Signature orNota"ublic-
kA(CV
j}AKi Ei_
P u1M1" uxc au:1e er ory a
PrintN n
Kan J Hane!
+�
Fry Commission GG 18438S
'�i 01F`e
uplree 1V302021