HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT2
PERMIT# I Q (� O r Q!i ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division R
F�Fn_
BUILDING
SUB -CONTRACTOR AGREEMENT °S �oFC��?0"�B
SCANNED t �4�9�°p
BY
St. Lucie County
C W LtZ_ have agreed to be
(company Namennaivioual rvame)
the i U rl bl Sub -contractor for L c N S�✓v c
(Type of Trade) (Primary Contractor)
For the project located at 3 G d I `tJo e 1- 4 414
(Proiect Street Address or Property Tax
,pe/t<. 'C2— . .3 sr 1 y9
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) ,
PRINT NAME
5 n q-15 1
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof S C 'I L
The foregoing Instrument was signed before me this � day of
i C 20 l�by t FPLq I —Ca h
who is personally known _Z4 has pinquced a A Or[ ✓Z511ICv-
STAMP
V f : i i
7 z ° eP%Novebr 1) ires
N2m
Revised 11/162016 Cn,GG 164021:
A 575
•'AVBLIG.•'•
if I O 11 11 O�
S CONTILYCCO 8 GN f 2E (Qualifier) i
(Alex
PRINT NAME
Non
COUNTY CERTIFICATION NUMBER
State of Florida, County of ffM_ 1i`,_D y��/
The foregoing instrument was signed before me th)is�� day of
—=� 20,g by
awn _or has produced a
tLn
as Identification.
STAMP
�atur ry
Print Name of NotaryPublic
�Zp0.Yp°A`
e
y ®
NO07 PUDIic State o/ Florida
Tamara Fish
�'oruu�
My CommisslonG
Fxplres 0 G 012165
9/22/2020
/
COUNtY.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT DEC I 31010
SUB -CONTRACTOR AGREEMENT Permitting Department
St. Lucie County
d P,4,d 5;:ii ii have agreed to be
(Company Name/Individual Name) /?
the "i / C'4r fc GA' Sub -contractor for (ye l d
(Type of Trade) (Primary Contractor)
For the project located at
fA )C,4-rte,,e_ F6 99gy
(Project Street Address or Propefty 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 oSt. Lucie County will be advised pursuant to the
r..
filing of a Change of Su -cont ctor notice.:
LT IR SIGNATURE (Qualifier)
PRI9TNAME 1'�•/�') 1
cJ— f✓ t
COUNTY CERTIFICATION NUMBER
State of Florida, County of, Sr twlL )I1,
The foregoing instrument was signed before me thiWiiay of
who iwersonally known sor has ptoa ced a - V
as
ENE
'STAMP- -
rnm name m
!•November. Ex
pireS ;-?77
N� No. GG 1645752 ,� rft+
Revised 11/162016 �A0 `-
O 11 I1O%
SU SSNMtCTOR SIGNATURE RE (Qualifier)
I;RINT NAME
� [OFI1COUNTY CERTIFICATION NUMBER
State of Florida, County of(�'
The foregoing instrument was signed before me this day of
P/n et-, zo�by att),f//J 6hWh _
who is personally known ✓has produced a
as
•,•4a17a•.,,
DONNAS.HAMMOND
Notary P,pbl(c;,jtate of Florida
+;','* may,.
,,,,,`f•`
Com I I GG 113350
My Comm. Expires Oct 6,2021
Handed through National Notary Ana