HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTN
00
PERMIT # T�qo�_ a o-e3 T;;UEDATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT MAR 0 41018
SUB -CONTRACTOR AGREEMENT
SCANNED Pef st Tucie county
Departmeof
BY
( St. Lucie County
FQ A IAJ &f have agreed to be
( ompany Name/Individual Name)
the R) l ) 0) N Q Sub -contractor for t ru r
(Typ�ade) EP,rimarttContraetoF-
For the project located at (Doo S, 0ee4n bri-ie-, UN1t'7bj, Te/Isen I32gch FL
(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.
7e J�- �- R 4;> 13
PRINT NAME
_Wo
COUNTY CERTIFICATION NUMBER
State of Florida, County of S*+L,3Coe COw'k'y
The foregoing instrument was signed beforree me thiissY* day of
r torf6117 .20L by �Psk -Q- F,o sJl7/Nr
who is personally known _or has produced a PA n L_
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sr Ll l.nt 2
The foregoing instrument was signed before me this day of
20LI,by
who is personally known or has produced a
as identification. /' as identification.
so
40
the
PERMIT# 101o2a— w? ISSUE DATE ate- f7r(
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUELDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
MAR 0 4 7018
permitting DeWmT'en
St. LUelo €nllr�
have agreed to be
Sub -contractor for Z2. -C-9 R- b6 f y
(('$iimgGontrac�)
18(000 S.QG2an t)rty
(Project Street Address or Property Tax ID
0¢nch FL
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.
CQNTNACTOR SIGNATURE (Qualifier)
- T-e - Cr - (- (; Zo (o biN,=
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S, LasGl e
The foregoing instrument was signed before me thhiis'_�&day of
Fz b yY . 20 by �I PiY�i {�0 6 61 I��
who is personally known _or has produced a
as identification.
EV �'t STAMP
Signature of Ndtatly Public
ELLEN V,
Mate of Florida•
Commission #
My Commissi
Revised 11/162016
eC 136531� I -
COUNTY CERTIFICATION NUMBER
f 1 State of Florida, County of ar�h 1
The foregoing instrumentyQwas signed before me this day of �, L
,201 d,by��11 &)— ► -P
who is personally (mown 3Lor has produced a
as identification.
J c STAMP
Sr ature of Notary Publi
den %Se ai l �
tEhgpgplp (Notary Public
4 Dania@ SWAWNgh
)NOTARY PUBLIC
STATE OF FLORIDA
CWW4 00008003
EVIres Sl3012020