HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
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PERMIT # I I 'O ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division 0111s�14
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
(Company Name/Individual Name)
the "// Sub -contractor for
For the project located at
(Project Street Address or Property Tax
(Primary
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.
1CONTRRACFO/RRSIGNATURE (Qualifier)
PRINT N�W
�(AUNTY ERTIF�ICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before m%this ,,( day of
('i/�J,�hs .20 o1,, by
who is personally known.V (
PR" INT NAM
(v-/ :7.W
COUNTY CERTIFICATION NUMBER
State of Florida, County of "41t-y—
The foregoing instrument was signed before me this
Z day of
N��lnl%� ,zglShhyy to .6-/./L
who Is Personally known V Or has produced a
as identification. as Identification.
STAMP
?Tblic—
Signature of Notary Public
Notary Publle Stet, of Florida
f J TrevorGMSS
uiv exam ilsslon GG 2a1087
ld 'A;unoD aion-i ,4S
4u@wgjedaq hui44luaJ@d
Revised 11/16/2016
6IR 6 I 833
STAMP
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P.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
11—r-Z 4/(,r4 ,
(Com any Na e/Individual Name) r —�
the %J� /y'VJ 4 Sub -contractor
(Type of Trade)
For the project located at
&161:1 ,
(Primary
or Property Tax ID #)
///'ny
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-contractypi iotice.
@ONTMCCPOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before no this_ day of
who is personally known _or has produced a
as identification.
STAMP
Signatureof Nola trevo
It
P�SState of Florida
WPO
a
Pri 4 �ou��1 /2022
Revised 111162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of GY
The foregoing instrument
was signed before methis
s.?_ day of
�-by W/
who is personally known✓ or has produced a
as identification.
STAMP
SignatuMof
ary public Stale It Florida
vor Gross
Commlmlon GG 281007
IOaS1W4720Print N
PERMIT # ISSUE DATE
.... ��� -r_ PLANNING & DEVELOPMENT SERVICES
(Type of Trade)
For the project located at
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Project Street Address or Property Tax ID #)
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 -con ctor notice.
CONTRACTOR SIG (Qualifier)
G -�osJ
PRINT NAM
COUNTY ERT FICATION 14UMBER
State of Florida, County of,i f
The foregoing instrument was signed before come this —/ day of
yT
m is lly personawn _or has produced a
as identification.
✓�"-�— STAMP
Signature of Notary Public
P n f 2�q�of NWnry P�IrC S� of Ronda
f J. Trevor Gross
+�cc 6 My Commlaalon GG 261a87
gopv Expires 101142022
Revised 11/162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
--111NUMBER�
COUNTY CERTIFICATION /��_/
State of Florida, County of i(Tp&; 7 �7
The foregoing instrument was signed before me this day of
�J'IrlHwlot , 2dZe by.
w �s personally kno�or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of N ry J! is
$O�L Notary PublicState of FloridaGros
'F Trevor Gross
+� My Commission GG 281087
Expires 1011412022