HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTEMIT
# ISSUE DATE'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
.SUB -CONTRACTOR AGREEMENT
z11' a O4 '14" %ems /,e C"' F 'I-L- C
For the project located at
SCANNED
BY
St. Lucie County
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.
W
ONTRACTOR SIGNATURE (Qualifier)
IMiml `�
PRINT NAME
(3wned Atli I JeY
COUNTY CERTIFICATION ffiER�
State of Florida, County of IV
The for ping instrument w�re�m/ee,thisisday
l of
who is personally known or has produced a
as idenGfi lion
STAMP
Signature of Notary Pu c
..l.�KA�REN S. NIELSEN
Print Name of Notary Public 3io �.-Y- State of Florida -Notary Public
Commission # GG 207484
My Commission Expires
June 12. 2022
Revised 11/162016
r/G�VATURE (Qualifier)
awn �i kul
PRINT NAME
ag Flo .
COUNTY CERTIFICATION NUMBER
State of Florida, County of ifl .i CL—kiVe.r
The foregoing instrument was signed before me this 1 / day of
i 20_aby. i r < _ tT
who is personally known _or has produced a
as identification.
`— 1 , STAMP
Si�PNoc
C.' t'J6 I LL-
Print Name of Notary Public
DONNA O'NEILL
&NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF215415
isE7tplres 5122J2019
�r
PERMIT# _00 1 2 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1-0
For the project located at
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.
CONCRXCTOR SIGNATLUW(O-U911 r) Y
PRINT'
��rJ�Klt°�J \YYIt�,
[VrYME�
.��p`r 190APY
COUNTY CERIONlFUr�IHLH{_
Stale of Florida, County of
V
omginstnmea wars' `ue,d oremethis �sd^ayy1o'ff ,
20& by Y
who is personally known or has Induced a V
w 3a&
COUNTY CERTIFICATION NUMBER n
State of Florida, County of �(%l� ', / it I ✓ Q �
,d.
The foregoing instrument was signed before me this day of
20 by
who is personally known ` or has produced a
as identirica am \ as identification.
�C-�STAMP i r�r�a� STAMP
Signature of Notary ublic Signature of Notary Public
"""r•.y KAREN S. NIELSEN r NotaryPublic State of Florida
Print Name of Notary Public ,� 'estate of Florida -Notary Public Print NameofNota P Hd a ue Martin
'-•� •5 Commission # GG 207484 i My Cammissbn GG 235093
�N,,, gc My Commission Expires �rr.� Expires on0u2o22
°ry•uu" June 12, 2022
Revised 11/162016
the
PERMIT# ISSUE DATE
of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divis on RECEIVED
BUILDING PERMIT OCT 0 8 2018
SUB -CONTRACTOR AGREEMENT
ST. Lucia County, Permitting
) -A
Sub -contractor for
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
C NT CERTIF ATI N N IBER/
State of Florida, County of " !L
T for ing instrument was signed beforemethisdayo
r
206by
who is personally known _or has produced a DL
as Identification.
STAMP
gnat a otaryublic
Print Name of Notary Pu c,,otx, eJ'r, ENS• NIELSEN
30 °k. State. of Florida•Notary Public
e Commission # GG 207484
_• .°
+.� My Commission Expires
iii�"`� June 12, 2022
Revised 11/162016
SU ONTRACTORSICNATME(Qualiaer)
PRINT NAME
COUNTY CERTEFIC ION` NLWBER
State of Florida, County of
T orego g instrument was signed me this day of
201by
who is personally known _or has produced a
Az L2z,-
as identification. `/o
V^ AMP
Slgnalureo otary Public
-
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT OCT U 8 2018
SUB -CONTRACTOR AGREEMENT
ST. Lucle County, Permitting
have agreed to be.
For the project located at
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
COUNTY CERTIFICATION N�JMB�
r�{ iyir
State of Florida, County of ft�
The egos instrument was signed ¢fore me thisi— of
20 , by
who is personally known _or has produced
///aaaa
as identification. ,
vN STAMP
Si atu o-f Islotairf Public
Print Name of Notary Public
late of Flonoa`G 2pj484
Commission # Expires
My Cornmisl 2P022
Revised 11/162016
U&CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COO "R �Ifq.TI 1' �R q
State of Florida, County of
The rego gInstrument was signed b,jYI/�isef�ore me this daN1y of
r 20,bY /(I�/ o i A
who is personally known _or has produced a � OL
as identification,
Signature of Notary Public
Print N eo 1pgary u REN S. NIELSEN
•
.r e
•e° 'p State of Florida -Notary Public
yp Commission # GG 207484
`"`�►►►►'"' �'•M Commission i�or nd�a Y Expires
'°na`• June 12, 2022