HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT#
ISSUE DATE
Z d
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisio
• RECEIVED
-- BUILDING PERMIT NOV 13 2018
SUB -CONTRACTOR AGREEMENT
SCANNED I ST. Lucie Countypermitting
BY
���5� 2 4Z, St. Lucie County
(Company NameQndividual Name) have agreed to be
/
the Sam !c%�L Sub -contractor for A41-1 Axl r 4l4 (�Novs Hd ✓ � S
(Type of Trade)
(Primary Contractor)
For the project located at Z 506 5 `"P W A"'6 J%'Vs e v
(Project Street Address or Property Tax ID #)
F -3 y95-7.4
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 (Qua�er)
PRINT NAME
C GC l52 �-�35°
COUNTY CERTWICATION NUMBER
State of Florida, County of
�,AThe foregoing instrument was signed before me this �� dayof
i&f4e VYNb2f 2041, by r1Ci`D2,(k
who ispersonallyknmvn_orhasproduceda �Lnt
LEE
My Commission Expires
�`•%'•erg June 15, 2019.
Revised 11/162016
S-CONTRACrORSIGNAT (Qualirier)
PRINT NAME
�� 1300 7: S 3
COUNTY CERTIFICATION NUMBER
State of Florida; Conntyof S-k- LUCI i=
Zomgoingimtmmentwmsigg�n{{edbefammetbis 13 dayof
qMine✓ .2ol0jby_l [e-r)rl rRvd.1Lc�
who is personally known or has produced 'F�L-6L_
^-'vM a rLORES
Commission 0 FF 206852
My Commissmn Expires
June 15. 2019
PERMIT#
the
061v—v-)a9
ISSUE DATE
lc�-31=18
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT ( �O�✓Amy
idual Name) 4
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
For the project located at 950o 5E 0620 OR. lets e,v -FL 3 Lc4
(Project Street Address or Property Tax ID #)
RECEIVE®
NOV 15 2018
WFfffRfhg Departmen
St. Lucie County, FL
W
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.
COUNTYCERTIFICATION NUMBER
State of Florida, County of .LUC\4�1
The foregoing iostmmeatt s. ad_toE me ddss`17'2_dayof -
i z6JCahY TUbef k Tb1_�\rnf ,Gl
who is personally lmosvn _or hm produced a r DL_
as identification.
My Commission Expires
,r.JLlne 15. 2019
Revised 11/162016
CIF(— t42!P,104
COUNTY CERTIFICATION NUMBER
State of Florida, County of
T e foregoing Instrument was slimed
l nmed before me this 3day of
oVe i3e✓ zo %by \Sc1%7ef*yc)"v tS
who is personally (mown _or has prodoced a 'FL O L/
- F
BRENDA LEE FLORES
iTwWssion # FF 20685:
My Commission Expires
June 15, 2019