HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe
(Type
DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For the project located at 11036 .5 ,
Sub -contractor for
.AtfcooiRfl
ctur)
(Project Street Address or Property Tax 1D .ft)
SCANNEb
BY
3t. Lucie County
have agreed to be
_ � T• .
3�str
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.
i�-
CON CTOR t A'f'VItE(Qualifier)
n4N c5f/eo µ
PRINT NAME
C O C OY6-730 C(�CE�7�Y0-r��ooc a z2iz
COUNTY CERTIFICATIONNCMBIE,R. - COUNTY CERTIFICATIONNUMBER
State of Florida, County of S+ • �`^-"�-' r� Slate of Florida, County of!<ft y_�
The I foregoing instrument was signed
before me (his 2.11 day -of The foregoing instrumentwassigned before me tnhis 'day of
�. 20 14 6y V �^� �Q ✓ is ✓� I . - , ' 20A by l y.&+Cf �l l f T�d
who is personally known or has produced a F(• ( `^^ who is penooa own _or has produced a_
as ideL'" ficatioo. /
Signature of Notary ublie
LT A -A. L-V V-
Print \ame orNolary Public
Notary POW. State of Flon a
:°`� LisaAGalvin
My C,,rnisalon GG 198990
q ��' Expires 0312112022
Revised iUIV1016
STAMP
u Id fifica
s'rAmP
Sign"a�t�uure of Votary Public 1��(
Print Narne of Notary Public
RENEE A. BATALINI
OtQt MY COMMISSION 9 FF941724
y,''Moy EMPIRES: February 24, 2020
'?ornC
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
S��Nc� it2c
(Com any Name/Individual Name)
the [.FC72I C t-'—
(Type of Trade)
For the project located at
(Project
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for 6fL4 DA gar_ &I LF/C=Z
(Primary Contractor)
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.
tJyfRACf0R SIGNATURE (Qualifier)
MOW 615a_ ✓
PRINT NA E
COUNTY CERTIFICATION NU ER
State of Florida, County of�^ /
The foregoing instrument was signed before me this t/�_� day of
by X—ri14), (/ , i3ri t 7
gIsperso, Ih• known or has produced a
as, identification. �`v/,yi' ^n
9 ` 1 %� STAMP
91'gantare of Not bac IU
Print Name ofNotary P hlk
;;:a"�^i,: AUDREY B. HUMPHREY
>.: MY COMMISSION # FF 174772
•., ?a EXPIRES: March 6, 2019
''%F„p'rn " Belled Thm Notary Public Undeiwrders
Revised l I/16/2016
WA
SURVO11114VACTOR9 ATURE(Qualifier)
PRINT N AME
COUNTYCERTIFICATION NUMBER
State of Florida, County of 56 i L'
The foregoing Instrument was signed before me ttbh _l_d "day of
'JT 20JLby Je ^74e/h SPA /.
who is personally known or has produced Yin #Iw`S r1.lrG5C
aMwzeSTAMP
Signature o otory Public
14-f - /(- LAC
Print Name of Notary Public
w u,.
�o�r"P Pos�o, NATHAN M LODISE
Notary Public - State of Florida
Commission # FF 931338
My Comm. Expires Oct 27, 2019
uu.
1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 a le- have agreed to be
(t;ompany Name/]narvtava] Name)
the ,n 6,,, /�,J,.v S Sub -contractor for F �D � Pc. �•' e^
(Type of Trade) (Primary Contractor)
For the project located at//
(Project Street Address 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.
FONTRACPOR SIGNATURE (Qualifier)
iGil?wnBr'L�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
(QJ
(T//hee foregoing instrument was signed before me thho fday of
A%!/n .20(l by /�L i -h V 77G� en
hho is persona knoxv or has produced a
as identification.
STAMP
Signature of Na a Public "4�0
��\ i3 -
Print Name of otary ublic
B.HUMPHREY
° .3 MY UDREYR,IHWPVJR74P2
Revised 11/162016 `. : - EXPIRES: March 6.2019
; e�naedTb »un
Pu6lc Undeariders
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of4 SC-�tsC.Q.,
e foregoing instrument was signed before me this day of
201 by l,r�
to I personally knknown or has produced a
assId/ennttiiffi�catiioo�n.. ,, (\�
i _�lA\.IYV�l1�JV STAMP
ur`�e of \Notary Public
rY Print Name of Notary Publt
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