HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
G
have agreed to be
the l I LTeI CI)4N Sub -contractor for C Q Nk ONS I Q-(JC7-) N
(Type of Trade) (Primary Contractor)
For the project located at
N J)V #-Ioo I J)E7Nbf,�j 1� L
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.
CONTRACTOR SIGNATURE (Qualifier)
4 r/M^,' Cc�/
PRINT NAME
z 9019 l
COUNTY CERTIFICATION NUMBER
�Nf�,�
State of Florida, County of /rl
The foregoing instrument was signed before me this /� day of
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(�C' 4Vb&2 .2018 by f'Vo T''sa n Cealp- e
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292F
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this L�day of
�7rYx✓L ,202Bby LtA/11� is✓
i
who is personally 1 or has produced a who is
as identificatjale---( , // as ider
f otary "Inis a �,o� WALTER D PAYNE II
o" •°�;' y Public -State of Florida
L ission # GG 24467
m. Expires Aug 25. 202C
cough National Notary Assn
Revised 11/16/2016
has produced
WALTER D PAYNE It
Lary Public - State of Florida
� Commission # GG 24467
Nry Comm. Expires Aug 25, 2021
Bonded through National Notary Assn
1114
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
TLl/MfT)d"l Sub -contractor for C(pJ45
(Type of Trade) (Primary Contractor)
For the project located at
�� D.2 4t100
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.
CONTRACTOR SIGNATURE (Qualifier) S ONTRACTOR SIGNATURE (Qualifier)
/0-i/Aov C0<�:_
PRINT NAME
/_90:?1
COUNTY CERTIFICATION NUMBER
State of Florida, County ofA44� f a -
The f regoing instrument was signed
/ before me this �I I day of
DI�EsL .20�byT�t)�.V\ C .e
wM10 is oersonafiy knowq�et has produced a
as 1dentifi=dof[____
% w "Ll' �, ,,,pa;"pU, WAJFJJQ,RAYNE II
ure of tary Public . .�� = otary Pu Ic - ate of Flori
Commission # GG 24467
My Comm. Expires Aug 25. 2
bonded through National NolaryA
Revised 11/162016
AlljoMMOA
PRINT NAME
2875 J
COUNTY CERTIFICATION NUMBER //
State of Florida, County of � a' C4^ -)
The foregoing instrument was si�°Ied before me this l� #day of
who is personally howo or has produced a
"Q :AnnKrrof:nn _ //
sq
Q_�V
Notary Public - Stale Florida
2 Commission # GG 4467
My Comm. Expires Aug 25, 2020
Name of Notary Public .1.11Had twougn National Nolary Assn