HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT��
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
r SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
xvla-
have agreed to be
(Company Name/Individual Name) l ,[
the E�PC cA�l Sub-contractorfor ��5 �UIG'I�w� L�JiA �r
(Type of Trade) ' (Primary Contractor)
For the project located at./aoo $O OC�4•�/ �2 �/C� 3L g� r�F/ f �L, 3y
(Project Street Address or Property Tax ID #)
I' It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATUREtWiffifper)
rt Jr.
PRINT NAME
C�c psi y�ZZ
COUNTY CERTIFICATION N
State of Florida, County of �(/e (
c foregoing instrument was signed before me this �0 day of
((^/� 20n dy Ly �.
ho is p rsonally known _or has produced a •'�
as identification. 1 ��
e✓'t'� �T'AMP
Signature of Notary blic (/
wm1
Print Name of Nota Public
""°e$"•.
,fir,•,•'',,
tyNR t�?
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AUDREY&HUMPHREY
My COMMISSION# IT 174M
Mamh 6,20 19
Revised ll/162016
EXPIRES:
Banded Bun lbtwyPubficUndexbrs
SUB -CONTRACTOR SIGNATURE (Qualifier)
h M;c,l-a -I
PRINT NAME
i6SO
COUNTY CERTIFICATION NUMBER 1
State of Florida, County of mo.✓-}7
The foregoing instrument was signed before me this J_ dny of
J one 20dby M16HaeI t�.�t= f�� i
who is personally known or has produced a
as identification
/�� C ]�
STAMP
Signature of Notary Public
�.Yt�
Print Name of Notary Public
•
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-a-e t.se.-, 63e-4� PIJtdz
have agreed to be
(Company Name/Individual Name) D
� f �m h
the l.a Sub -contractor for 3-JA- Sd lr
v O'dine C d 4 +
( ype of Trade) (Primary Contractor)
For the project located
(Project Street 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.
,A""CA9
CONTRACTOR SIGNATURE (Qer)
Fted �— N _ tTl f r 4-ems
PRINT NAME
C6(2-1S:-1fC"7-2-
COUNTY CERTIFICATION NU FV
>
State of Florida, County of
gh
16�7�e�gaiog instrument was sigued before me this day of 20n by s personally known _or has produced a
as IdenB catioa.
�AMP
Signntureof Notary P c v
Print Name of Notary Publf c I
:�'1'"`P9;�;, Al1DflEYB. NUMPN(iEy
Revised 11/162016 :, a MY COA9itISSIDNtlFF 1747/2
;;�. ,�'a- EXPIRES: March 6, 2019
yf,R, aondediNS NataryPuh'gUMennders
UB-CONTRACT SIGNAT (Qualifier)
1�nq�-i CLtAby-z4ssnn
PRINT NAME
'2465
COUNTY CERTIFICATION NUMBER
State of Florida, County of2�{,n
The foregoing instrument was signed before me this day of
Jl)Yl.- 2UJt$by hbri&6 �u f bQ f')
who is personally known 4zlor has produced a
as identification.
!/'✓ STAMP
ature ofryPublic
on
JACLYN F WILSON
MY CO8 201
MMISSION #F 7
P1RES November B. 01 a
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