HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT#
ISSUE DATE
Building & Code Compliance Division
BIII,DDIGPERNITa SCANNED
SUB-COAMIACTORAGREEMEINT BY
St. Lucie County
have agreed to be
rite U(Y) l 'r) Sub -contractor for �tY(lV1/n ( 51 YlX�1JU/l �tai
(T e ofTradeyJ
(Pnmary Contractor)
For the project located at L7 S q�egI� A,� j. 40y -fie ffz)pyt f,,Oi k Ft, 9,
(Protect Street Address or PrenertvTnv rn in r
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
CQUN CERTIFICATION NUMBER
State of Florida, County of 1.i
The foregoing lostrumonhvas sip�edb1,e,fore me this!_) day of
_ 20 bl• 1/�rrLPNI �l6NLJ
who is sonolklmow orhasproduceda
as identieption.
STAMP
5ignat ofFlota _ Public
Print a n Comm slon#GG 32RT79
N� o ExpltesApol29,2023
�,,,,o %-4W pptaolpnnotWssdsw
Revised 11/162016
SUB- IS MICCORSIGNATURE(Qaollfier)
PRIh7NAME
tto
COUNTY CERTIFICATION (v-Fi ER
State ofFlurida, Counh- of(1
The foregoing instrumentays s'i'.mahefa]mm''SS1ethis Ned yof
��20� by DIXVtO Fit.tS sr.
who is personaay Imosrn)Lor has produced a
Idenu lion.
C1 STAMP
51gn mreo Notary Public
�O1PRYr. ,(p . Doreen Langford
ter, NOTARY PUBLIC
PsntNamc ofiVom�� I. STATE OF FLORIDA
d = Comm# GG043591
'pNOE W Expires 12/8/2020
A
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
JC,G_ _y-
(Company Name/tndividual N
the
(Type of Trade)
BUILDING PERMTI'
SUBCONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for FVV1VV , 0 i nL
(Primary Contractor)
For the project located at I ON 5• OC&A lbl? . A r- r
(Project Sheet 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.
CONTRACTOR SIGNATURE (Qualifier) - SUH-CONTRACrOR SI ATURE (Qualifier)
Z%Ytl141 )P /i o
PRINT NAME
G/rG �-sl
COUNTY CERTIFICATIONNiA�ERa��l
State. of Florida, County of G/01—
i
The foregoing irttrumentwas signed before me this�day of
-)1� zofdby
who is onafiy Imo or has produced a
as identification.
J1-Al STAMP
Sio atureo NotaryPublic
J41244 A -In",
PrintName ofNomryPabfie
Revised 11/16/2016
.Joh,� G�tzol�lo
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of r �Cf _
The foregoiug instrument�iwas signed before me this 1 day of
vl 20l i. by 1114 il—f �LiyAtJ.+s
who is p na lm _or has produced a
as identification.
STAMP
tore of NotaryPubfie
J,tnna 61*W
Print Name ofNomryPublic